National Provider Identifier [NPI]: |
1144263633 |
Last Name Of The Provider |
PINEIRO |
First Name Of The Provider |
LUIS |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3410 WORTH ST |
Street Address 2 Of The Provider |
BONE MARROW TRANSPLANT |
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
752462003 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
120 |
Number Of Services |
53686 |
Number Of Medicare Beneficiaries |
167 |
Total Submitted Charge Amount |
1315079 |
Total Medicare Allowed Amount |
455535.99 |
Total Medicare Payment Amount |
345871.61 |
Total Medicare Standardized Payment Amount |
347117.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
53 |
Number Of Drug Services |
49550 |
Number Of Medicare Beneficiaries With Drug Services |
37 |
Total Drug Submitted ChargeAmount |
811974 |
Total Drug Medicare AllowedAmount |
286738.51 |
Total Drug Medicare PaymentAmount |
213924.8 |
Total Drug Medicare Standardized Payment Amount |
213924.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
4136 |
Number Of Medicare Beneficiaries With Medical Services |
167 |
Total Medical Submitted Charge Amount |
503105 |
Total Medical Medicare Allowed Amount |
168797.48 |
Total Medical Medicare Payment Amount |
131946.81 |
Total Medical Medicare Standardized Payment Amount |
133192.59 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
47 |
Number Of Beneficiaries Age 65 to 74 |
103 |
Number Of Beneficiaries Age 75 to 84 |
17 |
Number Of Beneficiaries Age Greater 84 |
0 |
Number Of Female Beneficiaries |
71 |
Number Of Male Beneficiaries |
96 |
Number Of Non Hispanic White Beneficiaries |
125 |
Number Of Black or African American Beneficiaries |
26 |
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 |
149 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
18 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
2.7131 |