National Provider Identifier [NPI]: |
1003017906 |
Last Name Of The Provider |
BURZELL |
First Name Of The Provider |
LINDEN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3142 VISTA WAY |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
OCEANSIDE |
Zip Code Of The Provider |
920563627 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
70 |
Number Of Services |
883 |
Number Of Medicare Beneficiaries |
240 |
Total Submitted Charge Amount |
125729 |
Total Medicare Allowed Amount |
63769.15 |
Total Medicare Payment Amount |
44745.49 |
Total Medicare Standardized Payment Amount |
43085.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
106 |
Number Of Medicare Beneficiaries With Drug Services |
48 |
Total Drug Submitted ChargeAmount |
3311 |
Total Drug Medicare AllowedAmount |
808.9 |
Total Drug Medicare PaymentAmount |
768.79 |
Total Drug Medicare Standardized Payment Amount |
768.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
777 |
Number Of Medicare Beneficiaries With Medical Services |
240 |
Total Medical Submitted Charge Amount |
122418 |
Total Medical Medicare Allowed Amount |
62960.25 |
Total Medical Medicare Payment Amount |
43976.7 |
Total Medical Medicare Standardized Payment Amount |
42316.42 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
61 |
Number Of Beneficiaries Age 65 to 74 |
95 |
Number Of Beneficiaries Age 75 to 84 |
51 |
Number Of Beneficiaries Age Greater 84 |
33 |
Number Of Female Beneficiaries |
147 |
Number Of Male Beneficiaries |
93 |
Number Of Non Hispanic White Beneficiaries |
166 |
Number Of Black or African American Beneficiaries |
12 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
44 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
131 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
109 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.2747 |