Medicare Facts for Dr. Timothy R. Pflugner, MD


National Provider Identifier [NPI]: 1194934752
Last Name Of The Provider PFLUGNER
First Name Of The Provider TIMOTHY
Middle Initial Of The Provider R
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 4937 CLARK RD
Street Address 2 Of The Provider
City Of The Provider SARASOTA
Zip Code Of The Provider 342333252
State Code Of The Provider FL
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 106
Number Of Services 1683
Number Of Medicare Beneficiaries 303
Total Submitted Charge Amount 285152
Total Medicare Allowed Amount 107017.87
Total Medicare Payment Amount 81665.59
Total Medicare Standardized Payment Amount 87416.09
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 7
Number Of Drug Services 648
Number Of Medicare Beneficiaries With Drug Services 118
Total Drug Submitted ChargeAmount 11984
Total Drug Medicare AllowedAmount 5625.18
Total Drug Medicare PaymentAmount 4103.69
Total Drug Medicare Standardized Payment Amount 4103.69
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 99
Number Of Medical Services 1035
Number Of Medicare Beneficiaries With Medical Services 303
Total Medical Submitted Charge Amount 273168
Total Medical Medicare Allowed Amount 101392.69
Total Medical Medicare Payment Amount 77561.9
Total Medical Medicare Standardized Payment Amount 83312.4
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 39
Number Of Beneficiaries Age 65 to 74 139
Number Of Beneficiaries Age 75 to 84 95
Number Of Beneficiaries Age Greater 84 30
Number Of Female Beneficiaries 180
Number Of Male Beneficiaries 123
Number Of Non Hispanic White Beneficiaries 280
Number Of Black or African American Beneficiaries
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 263
Number Of Beneficiaries With Medicare Medicaid Entitlement 40
Percent Of With Atrial Fibrillation 14
Percent Of With Alzheimers Disease or Dementia 10
Percent Of With Asthma
Percent Of With Cancer 10
Percent Of With Heart Failure 15
Percent Of With Chronic Kidney Disease 20
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 26
Percent Of With Diabetes 32
Percent Of With Hyperlipidemia 57
Percent Of With Hypertension 66
Percent Of With Ischemic Heart Disease 39
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 64
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 7
Average HCC Risk Score Of Beneficiaries 1.178

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