National Provider Identifier [NPI]: |
1245301373 |
Last Name Of The Provider |
BURAS |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3201 UNIVERSITY DR E |
Street Address 2 Of The Provider |
ST 345 |
City Of The Provider |
BRYAN |
Zip Code Of The Provider |
778023475 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
3421 |
Number Of Medicare Beneficiaries |
504 |
Total Submitted Charge Amount |
304962.77 |
Total Medicare Allowed Amount |
277703.87 |
Total Medicare Payment Amount |
209420.41 |
Total Medicare Standardized Payment Amount |
224167.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
226 |
Number Of Medicare Beneficiaries With Drug Services |
220 |
Total Drug Submitted ChargeAmount |
3115.4 |
Total Drug Medicare AllowedAmount |
2754.16 |
Total Drug Medicare PaymentAmount |
2698.21 |
Total Drug Medicare Standardized Payment Amount |
2698.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
3195 |
Number Of Medicare Beneficiaries With Medical Services |
504 |
Total Medical Submitted Charge Amount |
301847.37 |
Total Medical Medicare Allowed Amount |
274949.71 |
Total Medical Medicare Payment Amount |
206722.2 |
Total Medical Medicare Standardized Payment Amount |
221469.4 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
18 |
Number Of Beneficiaries Age 65 to 74 |
222 |
Number Of Beneficiaries Age 75 to 84 |
187 |
Number Of Beneficiaries Age Greater 84 |
77 |
Number Of Female Beneficiaries |
283 |
Number Of Male Beneficiaries |
221 |
Number Of Non Hispanic White Beneficiaries |
456 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
485 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
19 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
62 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0562 |