National Provider Identifier [NPI]: |
1982665337 |
Last Name Of The Provider |
BUROKER |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1221 PLEASANT STREET |
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 |
114 |
Number Of Services |
69209 |
Number Of Medicare Beneficiaries |
914 |
Total Submitted Charge Amount |
3133823.5 |
Total Medicare Allowed Amount |
1872670.56 |
Total Medicare Payment Amount |
1456529.27 |
Total Medicare Standardized Payment Amount |
1476934.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
51 |
Number Of Drug Services |
59347 |
Number Of Medicare Beneficiaries With Drug Services |
100 |
Total Drug Submitted ChargeAmount |
2033420 |
Total Drug Medicare AllowedAmount |
1278739.21 |
Total Drug Medicare PaymentAmount |
995991.04 |
Total Drug Medicare Standardized Payment Amount |
995991.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
9862 |
Number Of Medicare Beneficiaries With Medical Services |
914 |
Total Medical Submitted Charge Amount |
1100403.5 |
Total Medical Medicare Allowed Amount |
593931.35 |
Total Medical Medicare Payment Amount |
460538.23 |
Total Medical Medicare Standardized Payment Amount |
480943.22 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
69 |
Number Of Beneficiaries Age 65 to 74 |
414 |
Number Of Beneficiaries Age 75 to 84 |
329 |
Number Of Beneficiaries Age Greater 84 |
102 |
Number Of Female Beneficiaries |
636 |
Number Of Male Beneficiaries |
278 |
Number Of Non Hispanic White Beneficiaries |
886 |
Number Of Black or African American Beneficiaries |
12 |
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 |
839 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
75 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
59 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
41 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.5375 |