Medicare Facts for Dr. Jose F. Pinto, MD


National Provider Identifier [NPI]: 1528043866
Last Name Of The Provider PINTO
First Name Of The Provider JOSE
Middle Initial Of The Provider F
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 10023 S US HWY 1
Street Address 2 Of The Provider SUITE A
City Of The Provider PORT ST LUCIE
Zip Code Of The Provider 349525643
State Code Of The Provider FL
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 66
Number Of Services 4874
Number Of Medicare Beneficiaries 668
Total Submitted Charge Amount 648143
Total Medicare Allowed Amount 319596.41
Total Medicare Payment Amount 232192.23
Total Medicare Standardized Payment Amount 222126.6
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 8
Number Of Drug Services 197
Number Of Medicare Beneficiaries With Drug Services 181
Total Drug Submitted ChargeAmount 12354
Total Drug Medicare AllowedAmount 6205.55
Total Drug Medicare PaymentAmount 6071.91
Total Drug Medicare Standardized Payment Amount 6071.91
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 58
Number Of Medical Services 4677
Number Of Medicare Beneficiaries With Medical Services 668
Total Medical Submitted Charge Amount 635789
Total Medical Medicare Allowed Amount 313390.86
Total Medical Medicare Payment Amount 226120.32
Total Medical Medicare Standardized Payment Amount 216054.69
Average Age Of Beneficiaries 78
Number Of Beneficiaries Age Less65 35
Number Of Beneficiaries Age 65 to 74 207
Number Of Beneficiaries Age 75 to 84 259
Number Of Beneficiaries Age Greater 84 167
Number Of Female Beneficiaries 416
Number Of Male Beneficiaries 252
Number Of Non Hispanic White Beneficiaries 605
Number Of Black or African American Beneficiaries 30
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 609
Number Of Beneficiaries With Medicare Medicaid Entitlement 59
Percent Of With Atrial Fibrillation 14
Percent Of With Alzheimers Disease or Dementia 16
Percent Of With Asthma 3
Percent Of With Cancer 12
Percent Of With Heart Failure 20
Percent Of With Chronic Kidney Disease 35
Percent Of With Chronic Obstructive Pulmonary Disease 20
Percent Of With Depression 40
Percent Of With Diabetes 49
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 50
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 49
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.4292

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