| National Provider Identifier [NPI]: | 1568634509 |
| Last Name Of The Provider | BURK |
| First Name Of The Provider | BRANDON |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 39000 BOB HOPE DR DEPT OF |
| Street Address 2 Of The Provider | |
| City Of The Provider | RANCHO MIRAGE |
| Zip Code Of The Provider | 922703221 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 196 |
| Number Of Services | 49336 |
| Number Of Medicare Beneficiaries | 3387 |
| Total Submitted Charge Amount | 2605689.03 |
| Total Medicare Allowed Amount | 729571.67 |
| Total Medicare Payment Amount | 567095.26 |
| Total Medicare Standardized Payment Amount | 560423.21 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 44065 |
| Number Of Medicare Beneficiaries With Drug Services | 582 |
| Total Drug Submitted ChargeAmount | 72654 |
| Total Drug Medicare AllowedAmount | 12286.28 |
| Total Drug Medicare PaymentAmount | 9615.99 |
| Total Drug Medicare Standardized Payment Amount | 9615.99 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 192 |
| Number Of Medical Services | 5271 |
| Number Of Medicare Beneficiaries With Medical Services | 3385 |
| Total Medical Submitted Charge Amount | 2533035.03 |
| Total Medical Medicare Allowed Amount | 717285.39 |
| Total Medical Medicare Payment Amount | 557479.27 |
| Total Medical Medicare Standardized Payment Amount | 550807.22 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 363 |
| Number Of Beneficiaries Age 65 to 74 | 1298 |
| Number Of Beneficiaries Age 75 to 84 | 1159 |
| Number Of Beneficiaries Age Greater 84 | 567 |
| Number Of Female Beneficiaries | 1835 |
| Number Of Male Beneficiaries | 1552 |
| Number Of Non Hispanic White Beneficiaries | 2745 |
| Number Of Black or African American Beneficiaries | 116 |
| Number Of AsianPacific Islander Beneficiaries | 69 |
| Number Of Hispanic Beneficiaries | 403 |
| Number Of American Indian Alaska Native Beneficiaries | 14 |
| Number Of Beneficiaries With Race Not Else where Classified | 40 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2748 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 639 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 20 |
| Percent Of With Heart Failure | 25 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 29 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 70 |
| Percent Of With Ischemic Heart Disease | 45 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.6918 |