National Provider Identifier [NPI]: |
1154375210 |
Last Name Of The Provider |
PINSTEIN |
First Name Of The Provider |
MARTIN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5959 PARK AVE |
Street Address 2 Of The Provider |
RADIOLOGY DEPARTMENT |
City Of The Provider |
MEMPHIS |
Zip Code Of The Provider |
381195200 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
172 |
Number Of Services |
10933 |
Number Of Medicare Beneficiaries |
2787 |
Total Submitted Charge Amount |
953472 |
Total Medicare Allowed Amount |
179129.76 |
Total Medicare Payment Amount |
132989.18 |
Total Medicare Standardized Payment Amount |
147609.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
7053 |
Number Of Medicare Beneficiaries With Drug Services |
82 |
Total Drug Submitted ChargeAmount |
12624 |
Total Drug Medicare AllowedAmount |
2180.27 |
Total Drug Medicare PaymentAmount |
1652.59 |
Total Drug Medicare Standardized Payment Amount |
1652.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
167 |
Number Of Medical Services |
3880 |
Number Of Medicare Beneficiaries With Medical Services |
2787 |
Total Medical Submitted Charge Amount |
940848 |
Total Medical Medicare Allowed Amount |
176949.49 |
Total Medical Medicare Payment Amount |
131336.59 |
Total Medical Medicare Standardized Payment Amount |
145956.43 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
635 |
Number Of Beneficiaries Age 65 to 74 |
1061 |
Number Of Beneficiaries Age 75 to 84 |
726 |
Number Of Beneficiaries Age Greater 84 |
365 |
Number Of Female Beneficiaries |
1840 |
Number Of Male Beneficiaries |
947 |
Number Of Non Hispanic White Beneficiaries |
1851 |
Number Of Black or African American Beneficiaries |
870 |
Number Of AsianPacific Islander Beneficiaries |
20 |
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1950 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
837 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.7153 |