National Provider Identifier [NPI]: |
1699786772 |
Last Name Of The Provider |
BURTON |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5030 BUSINESS CENTER DR |
Street Address 2 Of The Provider |
STE 140 |
City Of The Provider |
FAIRFIELD |
Zip Code Of The Provider |
945346874 |
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 |
846 |
Number Of Medicare Beneficiaries |
183 |
Total Submitted Charge Amount |
234610 |
Total Medicare Allowed Amount |
101015.63 |
Total Medicare Payment Amount |
75115.52 |
Total Medicare Standardized Payment Amount |
67117.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
212 |
Number Of Medicare Beneficiaries With Drug Services |
48 |
Total Drug Submitted ChargeAmount |
26120 |
Total Drug Medicare AllowedAmount |
10961.02 |
Total Drug Medicare PaymentAmount |
8413.68 |
Total Drug Medicare Standardized Payment Amount |
8413.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
634 |
Number Of Medicare Beneficiaries With Medical Services |
183 |
Total Medical Submitted Charge Amount |
208490 |
Total Medical Medicare Allowed Amount |
90054.61 |
Total Medical Medicare Payment Amount |
66701.84 |
Total Medical Medicare Standardized Payment Amount |
58704.16 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
57 |
Number Of Beneficiaries Age 65 to 74 |
76 |
Number Of Beneficiaries Age 75 to 84 |
29 |
Number Of Beneficiaries Age Greater 84 |
21 |
Number Of Female Beneficiaries |
111 |
Number Of Male Beneficiaries |
72 |
Number Of Non Hispanic White Beneficiaries |
101 |
Number Of Black or African American Beneficiaries |
32 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
32 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
101 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
82 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
69 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.5042 |