National Provider Identifier [NPI]: |
1396700316 |
Last Name Of The Provider |
BURKE |
First Name Of The Provider |
KEVIN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3118 E 10TH ST |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
JEFFERSONVILLE |
Zip Code Of The Provider |
471305904 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
2816 |
Number Of Medicare Beneficiaries |
358 |
Total Submitted Charge Amount |
161312 |
Total Medicare Allowed Amount |
110412.71 |
Total Medicare Payment Amount |
80423.66 |
Total Medicare Standardized Payment Amount |
85434.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
592 |
Number Of Medicare Beneficiaries With Drug Services |
184 |
Total Drug Submitted ChargeAmount |
23417 |
Total Drug Medicare AllowedAmount |
13557.85 |
Total Drug Medicare PaymentAmount |
12013.09 |
Total Drug Medicare Standardized Payment Amount |
12013.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
2224 |
Number Of Medicare Beneficiaries With Medical Services |
355 |
Total Medical Submitted Charge Amount |
137895 |
Total Medical Medicare Allowed Amount |
96854.86 |
Total Medical Medicare Payment Amount |
68410.57 |
Total Medical Medicare Standardized Payment Amount |
73421.02 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
160 |
Number Of Beneficiaries Age 75 to 84 |
115 |
Number Of Beneficiaries Age Greater 84 |
54 |
Number Of Female Beneficiaries |
210 |
Number Of Male Beneficiaries |
148 |
Number Of Non Hispanic White Beneficiaries |
326 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
335 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
23 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
9 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9882 |