National Provider Identifier [NPI]: |
1245267418 |
Last Name Of The Provider |
BURTON |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
800 E WASHINGTON BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
CRESCENT CITY |
Zip Code Of The Provider |
955318359 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
148 |
Number Of Services |
3755 |
Number Of Medicare Beneficiaries |
1905 |
Total Submitted Charge Amount |
243583 |
Total Medicare Allowed Amount |
93888.73 |
Total Medicare Payment Amount |
67968.43 |
Total Medicare Standardized Payment Amount |
67469.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
148 |
Number Of Medical Services |
3755 |
Number Of Medicare Beneficiaries With Medical Services |
1905 |
Total Medical Submitted Charge Amount |
243583 |
Total Medical Medicare Allowed Amount |
93888.73 |
Total Medical Medicare Payment Amount |
67968.43 |
Total Medical Medicare Standardized Payment Amount |
67469.11 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
365 |
Number Of Beneficiaries Age 65 to 74 |
646 |
Number Of Beneficiaries Age 75 to 84 |
557 |
Number Of Beneficiaries Age Greater 84 |
337 |
Number Of Female Beneficiaries |
1170 |
Number Of Male Beneficiaries |
735 |
Number Of Non Hispanic White Beneficiaries |
1154 |
Number Of Black or African American Beneficiaries |
118 |
Number Of AsianPacific Islander Beneficiaries |
85 |
Number Of Hispanic Beneficiaries |
511 |
Number Of American Indian Alaska Native Beneficiaries |
15 |
Number Of Beneficiaries With Race Not Else where Classified |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
991 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
914 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
20 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.0236 |