National Provider Identifier [NPI]: |
1508829292 |
Last Name Of The Provider |
BURHOOP |
First Name Of The Provider |
CURTIS |
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 |
7601 PIONEERS BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
LINCOLN |
Zip Code Of The Provider |
685064675 |
State Code Of The Provider |
NE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
208 |
Number Of Services |
16592 |
Number Of Medicare Beneficiaries |
7501 |
Total Submitted Charge Amount |
1601027.84 |
Total Medicare Allowed Amount |
406084.4 |
Total Medicare Payment Amount |
319817.23 |
Total Medicare Standardized Payment Amount |
346275.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
3788 |
Number Of Medicare Beneficiaries With Drug Services |
75 |
Total Drug Submitted ChargeAmount |
4776.84 |
Total Drug Medicare AllowedAmount |
2163.83 |
Total Drug Medicare PaymentAmount |
1696.37 |
Total Drug Medicare Standardized Payment Amount |
1696.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
202 |
Number Of Medical Services |
12804 |
Number Of Medicare Beneficiaries With Medical Services |
7501 |
Total Medical Submitted Charge Amount |
1596251 |
Total Medical Medicare Allowed Amount |
403920.57 |
Total Medical Medicare Payment Amount |
318120.86 |
Total Medical Medicare Standardized Payment Amount |
344578.8 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
883 |
Number Of Beneficiaries Age 65 to 74 |
2789 |
Number Of Beneficiaries Age 75 to 84 |
2349 |
Number Of Beneficiaries Age Greater 84 |
1480 |
Number Of Female Beneficiaries |
4925 |
Number Of Male Beneficiaries |
2576 |
Number Of Non Hispanic White Beneficiaries |
7242 |
Number Of Black or African American Beneficiaries |
40 |
Number Of AsianPacific Islander Beneficiaries |
29 |
Number Of Hispanic Beneficiaries |
100 |
Number Of American Indian Alaska Native Beneficiaries |
19 |
Number Of Beneficiaries With Race Not Else where Classified |
71 |
Number Of Beneficiaries With Medicare Only Entitlement |
6097 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1404 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2143 |