National Provider Identifier [NPI]: |
1871532960 |
Last Name Of The Provider |
BURTON |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1011 E DEVONSHIRE AVE |
Street Address 2 Of The Provider |
SUITE 203 |
City Of The Provider |
HEMET |
Zip Code Of The Provider |
925433033 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
77 |
Number Of Services |
2054 |
Number Of Medicare Beneficiaries |
376 |
Total Submitted Charge Amount |
551648.5 |
Total Medicare Allowed Amount |
214057.25 |
Total Medicare Payment Amount |
159867.23 |
Total Medicare Standardized Payment Amount |
154383.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
801 |
Number Of Medicare Beneficiaries With Drug Services |
102 |
Total Drug Submitted ChargeAmount |
93969 |
Total Drug Medicare AllowedAmount |
38301.25 |
Total Drug Medicare PaymentAmount |
29241.99 |
Total Drug Medicare Standardized Payment Amount |
29241.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
1253 |
Number Of Medicare Beneficiaries With Medical Services |
376 |
Total Medical Submitted Charge Amount |
457679.5 |
Total Medical Medicare Allowed Amount |
175756 |
Total Medical Medicare Payment Amount |
130625.24 |
Total Medical Medicare Standardized Payment Amount |
125141.43 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
71 |
Number Of Beneficiaries Age 65 to 74 |
158 |
Number Of Beneficiaries Age 75 to 84 |
113 |
Number Of Beneficiaries Age Greater 84 |
34 |
Number Of Female Beneficiaries |
250 |
Number Of Male Beneficiaries |
126 |
Number Of Non Hispanic White Beneficiaries |
230 |
Number Of Black or African American Beneficiaries |
37 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
96 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
221 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
155 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2741 |