National Provider Identifier [NPI]: |
1386805331 |
Last Name Of The Provider |
BURAK |
First Name Of The Provider |
JOSHUA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
399 W CAMPBELL RD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
RICHARDSON |
Zip Code Of The Provider |
750803595 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
5228 |
Number Of Medicare Beneficiaries |
1561 |
Total Submitted Charge Amount |
707353.5 |
Total Medicare Allowed Amount |
311176.46 |
Total Medicare Payment Amount |
238619.39 |
Total Medicare Standardized Payment Amount |
243418.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
131 |
Number Of Medicare Beneficiaries With Drug Services |
38 |
Total Drug Submitted ChargeAmount |
16615 |
Total Drug Medicare AllowedAmount |
6672.02 |
Total Drug Medicare PaymentAmount |
5168 |
Total Drug Medicare Standardized Payment Amount |
5168 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
5097 |
Number Of Medicare Beneficiaries With Medical Services |
1561 |
Total Medical Submitted Charge Amount |
690738.5 |
Total Medical Medicare Allowed Amount |
304504.44 |
Total Medical Medicare Payment Amount |
233451.39 |
Total Medical Medicare Standardized Payment Amount |
238250.98 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
174 |
Number Of Beneficiaries Age 65 to 74 |
541 |
Number Of Beneficiaries Age 75 to 84 |
487 |
Number Of Beneficiaries Age Greater 84 |
359 |
Number Of Female Beneficiaries |
918 |
Number Of Male Beneficiaries |
643 |
Number Of Non Hispanic White Beneficiaries |
1231 |
Number Of Black or African American Beneficiaries |
116 |
Number Of AsianPacific Islander Beneficiaries |
115 |
Number Of Hispanic Beneficiaries |
71 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1246 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
315 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.812 |