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 |