National Provider Identifier [NPI]: |
1891792339 |
Last Name Of The Provider |
BUERK |
First Name Of The Provider |
BRUCE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
89 SYLVANIA DR |
Street Address 2 Of The Provider |
2ND FL |
City Of The Provider |
DAYTON |
Zip Code Of The Provider |
454403237 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
10721 |
Number Of Medicare Beneficiaries |
914 |
Total Submitted Charge Amount |
1750584.23 |
Total Medicare Allowed Amount |
1647421.4 |
Total Medicare Payment Amount |
1249327.28 |
Total Medicare Standardized Payment Amount |
1268784.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
1935 |
Number Of Medicare Beneficiaries With Drug Services |
121 |
Total Drug Submitted ChargeAmount |
968429.66 |
Total Drug Medicare AllowedAmount |
945694.97 |
Total Drug Medicare PaymentAmount |
733736.33 |
Total Drug Medicare Standardized Payment Amount |
733736.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
8786 |
Number Of Medicare Beneficiaries With Medical Services |
914 |
Total Medical Submitted Charge Amount |
782154.57 |
Total Medical Medicare Allowed Amount |
701726.43 |
Total Medical Medicare Payment Amount |
515590.95 |
Total Medical Medicare Standardized Payment Amount |
535048.24 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
46 |
Number Of Beneficiaries Age 65 to 74 |
252 |
Number Of Beneficiaries Age 75 to 84 |
329 |
Number Of Beneficiaries Age Greater 84 |
287 |
Number Of Female Beneficiaries |
565 |
Number Of Male Beneficiaries |
349 |
Number Of Non Hispanic White Beneficiaries |
874 |
Number Of Black or African American Beneficiaries |
20 |
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 |
840 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
74 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4201 |