National Provider Identifier [NPI]: |
1548267818 |
Last Name Of The Provider |
BURCH |
First Name Of The Provider |
FRANK |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3530 LONE OAK RD |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
PADUCAH |
Zip Code Of The Provider |
420035752 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
70 |
Number Of Services |
2088 |
Number Of Medicare Beneficiaries |
563 |
Total Submitted Charge Amount |
541226.5 |
Total Medicare Allowed Amount |
128770.8 |
Total Medicare Payment Amount |
94879.2 |
Total Medicare Standardized Payment Amount |
110112.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
521 |
Number Of Medicare Beneficiaries With Drug Services |
200 |
Total Drug Submitted ChargeAmount |
85680 |
Total Drug Medicare AllowedAmount |
42776.55 |
Total Drug Medicare PaymentAmount |
32670.52 |
Total Drug Medicare Standardized Payment Amount |
32670.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
1567 |
Number Of Medicare Beneficiaries With Medical Services |
563 |
Total Medical Submitted Charge Amount |
455546.5 |
Total Medical Medicare Allowed Amount |
85994.25 |
Total Medical Medicare Payment Amount |
62208.68 |
Total Medical Medicare Standardized Payment Amount |
77442.27 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
90 |
Number Of Beneficiaries Age 65 to 74 |
260 |
Number Of Beneficiaries Age 75 to 84 |
160 |
Number Of Beneficiaries Age Greater 84 |
53 |
Number Of Female Beneficiaries |
340 |
Number Of Male Beneficiaries |
223 |
Number Of Non Hispanic White Beneficiaries |
530 |
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 |
489 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
74 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0494 |