National Provider Identifier [NPI]: |
1366434599 |
Last Name Of The Provider |
BURMEISTER |
First Name Of The Provider |
TODD |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
D.P.M |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
681 GOODLETTE RD N |
Street Address 2 Of The Provider |
#160 |
City Of The Provider |
NAPLES |
Zip Code Of The Provider |
341025458 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
4140 |
Number Of Medicare Beneficiaries |
787 |
Total Submitted Charge Amount |
367320.4 |
Total Medicare Allowed Amount |
350399.23 |
Total Medicare Payment Amount |
256265.68 |
Total Medicare Standardized Payment Amount |
249436.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
188 |
Number Of Medicare Beneficiaries With Drug Services |
41 |
Total Drug Submitted ChargeAmount |
5594.49 |
Total Drug Medicare AllowedAmount |
4731.2 |
Total Drug Medicare PaymentAmount |
3709.6 |
Total Drug Medicare Standardized Payment Amount |
3709.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
3952 |
Number Of Medicare Beneficiaries With Medical Services |
787 |
Total Medical Submitted Charge Amount |
361725.91 |
Total Medical Medicare Allowed Amount |
345668.03 |
Total Medical Medicare Payment Amount |
252556.08 |
Total Medical Medicare Standardized Payment Amount |
245726.67 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
13 |
Number Of Beneficiaries Age 65 to 74 |
267 |
Number Of Beneficiaries Age 75 to 84 |
331 |
Number Of Beneficiaries Age Greater 84 |
176 |
Number Of Female Beneficiaries |
404 |
Number Of Male Beneficiaries |
383 |
Number Of Non Hispanic White Beneficiaries |
749 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
761 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
26 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2231 |