Medicare Facts for Dr. Simmy J. Pinto, MD


National Provider Identifier [NPI]: 1235197781
Last Name Of The Provider PINTO
First Name Of The Provider SIMMY
Middle Initial Of The Provider J
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 402 N BABCOCK ST
Street Address 2 Of The Provider SUITE 402
City Of The Provider MELBOURNE
Zip Code Of The Provider 329357335
State Code Of The Provider FL
Country Code Of The Provider US
Provider Type Of The Provider Pulmonary Disease
Medicare Participation Indicator Y
Number Of HCPCS 37
Number Of Services 5346
Number Of Medicare Beneficiaries 1630
Total Submitted Charge Amount 1174619
Total Medicare Allowed Amount 611650.97
Total Medicare Payment Amount 467299.04
Total Medicare Standardized Payment Amount 469250.03
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 37
Number Of Medical Services 5346
Number Of Medicare Beneficiaries With Medical Services 1630
Total Medical Submitted Charge Amount 1174619
Total Medical Medicare Allowed Amount 611650.97
Total Medical Medicare Payment Amount 467299.04
Total Medical Medicare Standardized Payment Amount 469250.03
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 281
Number Of Beneficiaries Age 65 to 74 595
Number Of Beneficiaries Age 75 to 84 514
Number Of Beneficiaries Age Greater 84 240
Number Of Female Beneficiaries 868
Number Of Male Beneficiaries 762
Number Of Non Hispanic White Beneficiaries 1387
Number Of Black or African American Beneficiaries 131
Number Of AsianPacific Islander Beneficiaries 14
Number Of Hispanic Beneficiaries 85
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified 13
Number Of Beneficiaries With Medicare Only Entitlement 1276
Number Of Beneficiaries With Medicare Medicaid Entitlement 354
Percent Of With Atrial Fibrillation 26
Percent Of With Alzheimers Disease or Dementia 23
Percent Of With Asthma 14
Percent Of With Cancer 17
Percent Of With Heart Failure 46
Percent Of With Chronic Kidney Disease 49
Percent Of With Chronic Obstructive Pulmonary Disease 56
Percent Of With Depression 35
Percent Of With Diabetes 48
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 63
Percent Of With Osteoporosis 16
Percent Of With Rheumatoid Arthritis Osteoarthritis 50
Percent Of With Schizophrenia Other PsychoticDisorders 8
Percent Of With Stroke 14
Average HCC Risk Score Of Beneficiaries 2.2531

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