National Provider Identifier [NPI]: |
1700819810 |
Last Name Of The Provider |
BUR |
First Name Of The Provider |
KEVIN |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
826 W KING ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
OWOSSO |
Zip Code Of The Provider |
488672120 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Anesthesiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
75 |
Number Of Services |
1802 |
Number Of Medicare Beneficiaries |
1610 |
Total Submitted Charge Amount |
1275200 |
Total Medicare Allowed Amount |
145307.52 |
Total Medicare Payment Amount |
111506.4 |
Total Medicare Standardized Payment Amount |
115808.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
1802 |
Number Of Medicare Beneficiaries With Medical Services |
1610 |
Total Medical Submitted Charge Amount |
1275200 |
Total Medical Medicare Allowed Amount |
145307.52 |
Total Medical Medicare Payment Amount |
111506.4 |
Total Medical Medicare Standardized Payment Amount |
115808.28 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
291 |
Number Of Beneficiaries Age 65 to 74 |
774 |
Number Of Beneficiaries Age 75 to 84 |
442 |
Number Of Beneficiaries Age Greater 84 |
103 |
Number Of Female Beneficiaries |
959 |
Number Of Male Beneficiaries |
651 |
Number Of Non Hispanic White Beneficiaries |
1397 |
Number Of Black or African American Beneficiaries |
161 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1322 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
288 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2624 |