National Provider Identifier [NPI]: |
1275521676 |
Last Name Of The Provider |
BURKHART |
First Name Of The Provider |
PATRICK |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1702 E LAMAR ALEX PKWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
MARYVILLE |
Zip Code Of The Provider |
378046204 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
95 |
Number Of Services |
9111 |
Number Of Medicare Beneficiaries |
1112 |
Total Submitted Charge Amount |
620743.5 |
Total Medicare Allowed Amount |
371524.27 |
Total Medicare Payment Amount |
262588.3 |
Total Medicare Standardized Payment Amount |
278920.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
210 |
Number Of Medicare Beneficiaries With Drug Services |
42 |
Total Drug Submitted ChargeAmount |
7057 |
Total Drug Medicare AllowedAmount |
5869.21 |
Total Drug Medicare PaymentAmount |
4454.27 |
Total Drug Medicare Standardized Payment Amount |
4454.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
92 |
Number Of Medical Services |
8901 |
Number Of Medicare Beneficiaries With Medical Services |
1112 |
Total Medical Submitted Charge Amount |
613686.5 |
Total Medical Medicare Allowed Amount |
365655.06 |
Total Medical Medicare Payment Amount |
258134.03 |
Total Medical Medicare Standardized Payment Amount |
274466.18 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
469 |
Number Of Beneficiaries Age 75 to 84 |
387 |
Number Of Beneficiaries Age Greater 84 |
225 |
Number Of Female Beneficiaries |
530 |
Number Of Male Beneficiaries |
582 |
Number Of Non Hispanic White Beneficiaries |
1093 |
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 |
1073 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
39 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.8896 |