National Provider Identifier [NPI]: |
1306073051 |
Last Name Of The Provider |
PINCKNEY |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1205 RIVER AVE |
Street Address 2 Of The Provider |
2ND FLOOR |
City Of The Provider |
WILLIAMSPORT |
Zip Code Of The Provider |
177013724 |
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 |
52 |
Number Of Services |
2122 |
Number Of Medicare Beneficiaries |
317 |
Total Submitted Charge Amount |
144891 |
Total Medicare Allowed Amount |
115955.98 |
Total Medicare Payment Amount |
88577.98 |
Total Medicare Standardized Payment Amount |
92360.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
875 |
Number Of Medicare Beneficiaries With Drug Services |
133 |
Total Drug Submitted ChargeAmount |
18591 |
Total Drug Medicare AllowedAmount |
15665.7 |
Total Drug Medicare PaymentAmount |
13275.72 |
Total Drug Medicare Standardized Payment Amount |
13275.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
1247 |
Number Of Medicare Beneficiaries With Medical Services |
317 |
Total Medical Submitted Charge Amount |
126300 |
Total Medical Medicare Allowed Amount |
100290.28 |
Total Medical Medicare Payment Amount |
75302.26 |
Total Medical Medicare Standardized Payment Amount |
79085.21 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
46 |
Number Of Beneficiaries Age 65 to 74 |
124 |
Number Of Beneficiaries Age 75 to 84 |
90 |
Number Of Beneficiaries Age Greater 84 |
57 |
Number Of Female Beneficiaries |
175 |
Number Of Male Beneficiaries |
142 |
Number Of Non Hispanic White Beneficiaries |
302 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
262 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
55 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1014 |