National Provider Identifier [NPI]: |
1528027828 |
Last Name Of The Provider |
BURTON |
First Name Of The Provider |
CHARLES |
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 |
819 W CARPENTER ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
BENTON |
Zip Code Of The Provider |
720153349 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
6062 |
Number Of Medicare Beneficiaries |
546 |
Total Submitted Charge Amount |
320540 |
Total Medicare Allowed Amount |
185504.89 |
Total Medicare Payment Amount |
128396.7 |
Total Medicare Standardized Payment Amount |
142792.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
771 |
Number Of Medicare Beneficiaries With Drug Services |
312 |
Total Drug Submitted ChargeAmount |
12817 |
Total Drug Medicare AllowedAmount |
10603.82 |
Total Drug Medicare PaymentAmount |
10310.92 |
Total Drug Medicare Standardized Payment Amount |
10310.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
5291 |
Number Of Medicare Beneficiaries With Medical Services |
546 |
Total Medical Submitted Charge Amount |
307723 |
Total Medical Medicare Allowed Amount |
174901.07 |
Total Medical Medicare Payment Amount |
118085.78 |
Total Medical Medicare Standardized Payment Amount |
132481.94 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
68 |
Number Of Beneficiaries Age 65 to 74 |
263 |
Number Of Beneficiaries Age 75 to 84 |
155 |
Number Of Beneficiaries Age Greater 84 |
60 |
Number Of Female Beneficiaries |
261 |
Number Of Male Beneficiaries |
285 |
Number Of Non Hispanic White Beneficiaries |
528 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
518 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
28 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.92 |