National Provider Identifier [NPI]: |
1336144567 |
Last Name Of The Provider |
BURTE |
First Name Of The Provider |
KERRIN |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2616 LEGENDS WAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
CRESTVIEW HILLS |
Zip Code Of The Provider |
410172418 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
66 |
Number Of Services |
37199 |
Number Of Medicare Beneficiaries |
384 |
Total Submitted Charge Amount |
1589936.6 |
Total Medicare Allowed Amount |
1131211.45 |
Total Medicare Payment Amount |
830840.68 |
Total Medicare Standardized Payment Amount |
853776.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
32925 |
Number Of Medicare Beneficiaries With Drug Services |
279 |
Total Drug Submitted ChargeAmount |
1030915.6 |
Total Drug Medicare AllowedAmount |
876124 |
Total Drug Medicare PaymentAmount |
647642.99 |
Total Drug Medicare Standardized Payment Amount |
647642.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
4274 |
Number Of Medicare Beneficiaries With Medical Services |
384 |
Total Medical Submitted Charge Amount |
559021 |
Total Medical Medicare Allowed Amount |
255087.45 |
Total Medical Medicare Payment Amount |
183197.69 |
Total Medical Medicare Standardized Payment Amount |
206133.57 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
66 |
Number Of Beneficiaries Age 65 to 74 |
155 |
Number Of Beneficiaries Age 75 to 84 |
119 |
Number Of Beneficiaries Age Greater 84 |
44 |
Number Of Female Beneficiaries |
288 |
Number Of Male Beneficiaries |
96 |
Number Of Non Hispanic White Beneficiaries |
371 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
335 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
49 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
31 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3253 |