National Provider Identifier [NPI]: |
1578558805 |
Last Name Of The Provider |
BURTON |
First Name Of The Provider |
NORRIS |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
907 18TH ST E |
Street Address 2 Of The Provider |
SUITE 140 |
City Of The Provider |
TIFTON |
Zip Code Of The Provider |
317943643 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
102 |
Number Of Services |
5326 |
Number Of Medicare Beneficiaries |
384 |
Total Submitted Charge Amount |
475129.3 |
Total Medicare Allowed Amount |
240824.09 |
Total Medicare Payment Amount |
178772.67 |
Total Medicare Standardized Payment Amount |
189944.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
2620 |
Number Of Medicare Beneficiaries With Drug Services |
130 |
Total Drug Submitted ChargeAmount |
94810 |
Total Drug Medicare AllowedAmount |
58895.74 |
Total Drug Medicare PaymentAmount |
46284.17 |
Total Drug Medicare Standardized Payment Amount |
46284.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
88 |
Number Of Medical Services |
2706 |
Number Of Medicare Beneficiaries With Medical Services |
384 |
Total Medical Submitted Charge Amount |
380319.3 |
Total Medical Medicare Allowed Amount |
181928.35 |
Total Medical Medicare Payment Amount |
132488.5 |
Total Medical Medicare Standardized Payment Amount |
143660.47 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
73 |
Number Of Beneficiaries Age 65 to 74 |
148 |
Number Of Beneficiaries Age 75 to 84 |
111 |
Number Of Beneficiaries Age Greater 84 |
52 |
Number Of Female Beneficiaries |
237 |
Number Of Male Beneficiaries |
147 |
Number Of Non Hispanic White Beneficiaries |
328 |
Number Of Black or African American Beneficiaries |
|
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 |
257 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
127 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
2.1719 |