Medicare Facts for Dr. Michael L. Sinitsa, MD


National Provider Identifier [NPI]: 1922009307
Last Name Of The Provider SINITSA
First Name Of The Provider MICHAEL
Middle Initial Of The Provider L
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 4885 DEMOSS RD
Street Address 2 Of The Provider SUITE 201
City Of The Provider READING
Zip Code Of The Provider 196069023
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 49
Number Of Services 2562
Number Of Medicare Beneficiaries 635
Total Submitted Charge Amount 216778.2
Total Medicare Allowed Amount 163894.19
Total Medicare Payment Amount 117716.04
Total Medicare Standardized Payment Amount 124068.39
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 11
Number Of Drug Services 266
Number Of Medicare Beneficiaries With Drug Services 213
Total Drug Submitted ChargeAmount 11024.2
Total Drug Medicare AllowedAmount 9636.82
Total Drug Medicare PaymentAmount 9402.62
Total Drug Medicare Standardized Payment Amount 9402.62
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 38
Number Of Medical Services 2296
Number Of Medicare Beneficiaries With Medical Services 635
Total Medical Submitted Charge Amount 205754
Total Medical Medicare Allowed Amount 154257.37
Total Medical Medicare Payment Amount 108313.42
Total Medical Medicare Standardized Payment Amount 114665.77
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 85
Number Of Beneficiaries Age 65 to 74 239
Number Of Beneficiaries Age 75 to 84 169
Number Of Beneficiaries Age Greater 84 142
Number Of Female Beneficiaries 346
Number Of Male Beneficiaries 289
Number Of Non Hispanic White Beneficiaries 580
Number Of Black or African American Beneficiaries 20
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 21
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 493
Number Of Beneficiaries With Medicare Medicaid Entitlement 142
Percent Of With Atrial Fibrillation 13
Percent Of With Alzheimers Disease or Dementia 23
Percent Of With Asthma 7
Percent Of With Cancer 10
Percent Of With Heart Failure 20
Percent Of With Chronic Kidney Disease 25
Percent Of With Chronic Obstructive Pulmonary Disease 13
Percent Of With Depression 27
Percent Of With Diabetes 29
Percent Of With Hyperlipidemia 65
Percent Of With Hypertension 73
Percent Of With Ischemic Heart Disease 33
Percent Of With Osteoporosis 13
Percent Of With Rheumatoid Arthritis Osteoarthritis 40
Percent Of With Schizophrenia Other PsychoticDisorders 17
Percent Of With Stroke 7
Average HCC Risk Score Of Beneficiaries 1.3826

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