Medicare Facts for Dr. Domenic Pisano, DO


National Provider Identifier [NPI]: 1669446159
Last Name Of The Provider PISANO
First Name Of The Provider DOMENIC
Middle Initial Of The Provider
Credentials Of The Provider DO
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 196 W SPROUL RD
Street Address 2 Of The Provider SUITE 106
City Of The Provider SPRINGFIELD
Zip Code Of The Provider 190642045
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Cardiology
Medicare Participation Indicator Y
Number Of HCPCS 25
Number Of Services 661
Number Of Medicare Beneficiaries 264
Total Submitted Charge Amount 135648.61
Total Medicare Allowed Amount 44295.83
Total Medicare Payment Amount 30651.7
Total Medicare Standardized Payment Amount 29067.81
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 25
Number Of Medical Services 661
Number Of Medicare Beneficiaries With Medical Services 264
Total Medical Submitted Charge Amount 135648.61
Total Medical Medicare Allowed Amount 44295.83
Total Medical Medicare Payment Amount 30651.7
Total Medical Medicare Standardized Payment Amount 29067.81
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 25
Number Of Beneficiaries Age 65 to 74 107
Number Of Beneficiaries Age 75 to 84 76
Number Of Beneficiaries Age Greater 84 56
Number Of Female Beneficiaries 125
Number Of Male Beneficiaries 139
Number Of Non Hispanic White Beneficiaries 225
Number Of Black or African American Beneficiaries 27
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 221
Number Of Beneficiaries With Medicare Medicaid Entitlement 43
Percent Of With Atrial Fibrillation 26
Percent Of With Alzheimers Disease or Dementia 13
Percent Of With Asthma 9
Percent Of With Cancer 13
Percent Of With Heart Failure 25
Percent Of With Chronic Kidney Disease 30
Percent Of With Chronic Obstructive Pulmonary Disease 16
Percent Of With Depression 17
Percent Of With Diabetes 33
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 63
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 39
Percent Of With Schizophrenia Other PsychoticDisorders 5
Percent Of With Stroke 8
Average HCC Risk Score Of Beneficiaries 1.4056

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