National Provider Identifier [NPI]: |
1609846427 |
Last Name Of The Provider |
BUK |
First Name Of The Provider |
ALEXANDRA |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1501 ALDERSGATE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
LITTLE ROCK |
Zip Code Of The Provider |
722056611 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
3822 |
Number Of Medicare Beneficiaries |
1118 |
Total Submitted Charge Amount |
209516 |
Total Medicare Allowed Amount |
189623.38 |
Total Medicare Payment Amount |
138212.11 |
Total Medicare Standardized Payment Amount |
155845.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
402 |
Number Of Medicare Beneficiaries With Drug Services |
238 |
Total Drug Submitted ChargeAmount |
2859 |
Total Drug Medicare AllowedAmount |
2292.94 |
Total Drug Medicare PaymentAmount |
1715.63 |
Total Drug Medicare Standardized Payment Amount |
1715.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
3420 |
Number Of Medicare Beneficiaries With Medical Services |
1118 |
Total Medical Submitted Charge Amount |
206657 |
Total Medical Medicare Allowed Amount |
187330.44 |
Total Medical Medicare Payment Amount |
136496.48 |
Total Medical Medicare Standardized Payment Amount |
154129.82 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
195 |
Number Of Beneficiaries Age 65 to 74 |
466 |
Number Of Beneficiaries Age 75 to 84 |
302 |
Number Of Beneficiaries Age Greater 84 |
155 |
Number Of Female Beneficiaries |
723 |
Number Of Male Beneficiaries |
395 |
Number Of Non Hispanic White Beneficiaries |
833 |
Number Of Black or African American Beneficiaries |
270 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
906 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
212 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2623 |