National Provider Identifier [NPI]: |
1326039587 |
Last Name Of The Provider |
BURRIS |
First Name Of The Provider |
ALFRED |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1328 SOUTHERN AVE SE |
Street Address 2 Of The Provider |
214 |
City Of The Provider |
WASHINGTON |
Zip Code Of The Provider |
200324689 |
State Code Of The Provider |
DC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
6494 |
Number Of Medicare Beneficiaries |
1130 |
Total Submitted Charge Amount |
1073625 |
Total Medicare Allowed Amount |
627898.85 |
Total Medicare Payment Amount |
473407.99 |
Total Medicare Standardized Payment Amount |
431679.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
72 |
Number Of Medicare Beneficiaries With Drug Services |
67 |
Total Drug Submitted ChargeAmount |
2500 |
Total Drug Medicare AllowedAmount |
561.86 |
Total Drug Medicare PaymentAmount |
545.37 |
Total Drug Medicare Standardized Payment Amount |
545.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
6422 |
Number Of Medicare Beneficiaries With Medical Services |
1130 |
Total Medical Submitted Charge Amount |
1071125 |
Total Medical Medicare Allowed Amount |
627336.99 |
Total Medical Medicare Payment Amount |
472862.62 |
Total Medical Medicare Standardized Payment Amount |
431133.95 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
250 |
Number Of Beneficiaries Age 65 to 74 |
402 |
Number Of Beneficiaries Age 75 to 84 |
329 |
Number Of Beneficiaries Age Greater 84 |
149 |
Number Of Female Beneficiaries |
709 |
Number Of Male Beneficiaries |
421 |
Number Of Non Hispanic White Beneficiaries |
73 |
Number Of Black or African American Beneficiaries |
1015 |
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
564 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
566 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
51 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
62 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
1.9932 |