National Provider Identifier [NPI]: |
1083692792 |
Last Name Of The Provider |
BURNS |
First Name Of The Provider |
LEO |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4755 OGLETOWN-STANTON RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
NEWARK |
Zip Code Of The Provider |
19718 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
1627 |
Number Of Medicare Beneficiaries |
1005 |
Total Submitted Charge Amount |
573077 |
Total Medicare Allowed Amount |
170475.47 |
Total Medicare Payment Amount |
131104.12 |
Total Medicare Standardized Payment Amount |
130772.02 |
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 |
30 |
Number Of Medical Services |
1627 |
Number Of Medicare Beneficiaries With Medical Services |
1005 |
Total Medical Submitted Charge Amount |
573077 |
Total Medical Medicare Allowed Amount |
170475.47 |
Total Medical Medicare Payment Amount |
131104.12 |
Total Medical Medicare Standardized Payment Amount |
130772.02 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
266 |
Number Of Beneficiaries Age 65 to 74 |
260 |
Number Of Beneficiaries Age 75 to 84 |
270 |
Number Of Beneficiaries Age Greater 84 |
209 |
Number Of Female Beneficiaries |
584 |
Number Of Male Beneficiaries |
421 |
Number Of Non Hispanic White Beneficiaries |
710 |
Number Of Black or African American Beneficiaries |
252 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
692 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
313 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
43 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
2.0918 |