National Provider Identifier [NPI]: |
1184737504 |
Last Name Of The Provider |
BUROKER |
First Name Of The Provider |
DANIEL |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1221 PLEASANT ST |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
DES MOINES |
Zip Code Of The Provider |
50309 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
111 |
Number Of Services |
98514 |
Number Of Medicare Beneficiaries |
593 |
Total Submitted Charge Amount |
3093627 |
Total Medicare Allowed Amount |
1754263.95 |
Total Medicare Payment Amount |
1366164.82 |
Total Medicare Standardized Payment Amount |
1386696.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
54 |
Number Of Drug Services |
89555 |
Number Of Medicare Beneficiaries With Drug Services |
124 |
Total Drug Submitted ChargeAmount |
2224380 |
Total Drug Medicare AllowedAmount |
1325006.52 |
Total Drug Medicare PaymentAmount |
1034520.39 |
Total Drug Medicare Standardized Payment Amount |
1034520.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
8959 |
Number Of Medicare Beneficiaries With Medical Services |
593 |
Total Medical Submitted Charge Amount |
869247 |
Total Medical Medicare Allowed Amount |
429257.43 |
Total Medical Medicare Payment Amount |
331644.43 |
Total Medical Medicare Standardized Payment Amount |
352175.99 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
59 |
Number Of Beneficiaries Age 65 to 74 |
289 |
Number Of Beneficiaries Age 75 to 84 |
182 |
Number Of Beneficiaries Age Greater 84 |
63 |
Number Of Female Beneficiaries |
325 |
Number Of Male Beneficiaries |
268 |
Number Of Non Hispanic White Beneficiaries |
565 |
Number Of Black or African American Beneficiaries |
15 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
521 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
72 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
48 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.7509 |