National Provider Identifier [NPI]: |
1891853214 |
Last Name Of The Provider |
BURRES |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. INC |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6221 WILSHIRE BLVD. |
Street Address 2 Of The Provider |
SUITE 517 |
City Of The Provider |
LOS ANGELES |
Zip Code Of The Provider |
900485223 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Otolaryngology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
21 |
Number Of Services |
6766 |
Number Of Medicare Beneficiaries |
2564 |
Total Submitted Charge Amount |
904687.21 |
Total Medicare Allowed Amount |
510420.01 |
Total Medicare Payment Amount |
393901.31 |
Total Medicare Standardized Payment Amount |
369077.64 |
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 |
21 |
Number Of Medical Services |
6766 |
Number Of Medicare Beneficiaries With Medical Services |
2564 |
Total Medical Submitted Charge Amount |
904687.21 |
Total Medical Medicare Allowed Amount |
510420.01 |
Total Medical Medicare Payment Amount |
393901.31 |
Total Medical Medicare Standardized Payment Amount |
369077.64 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
344 |
Number Of Beneficiaries Age 65 to 74 |
593 |
Number Of Beneficiaries Age 75 to 84 |
765 |
Number Of Beneficiaries Age Greater 84 |
862 |
Number Of Female Beneficiaries |
1455 |
Number Of Male Beneficiaries |
1109 |
Number Of Non Hispanic White Beneficiaries |
1223 |
Number Of Black or African American Beneficiaries |
337 |
Number Of AsianPacific Islander Beneficiaries |
272 |
Number Of Hispanic Beneficiaries |
667 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
250 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
2314 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
58 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
50 |
Percent Of With Diabetes |
61 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
29 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.9959 |