Medicare Facts for Dr. David M. Pilkington, MD


National Provider Identifier [NPI]: 1295751931
Last Name Of The Provider PILKINGTON
First Name Of The Provider DAVID
Middle Initial Of The Provider M
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 410 E YOSEMITE AVE
Street Address 2 Of The Provider SUITE C
City Of The Provider MERCED
Zip Code Of The Provider 953408220
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Dermatology
Medicare Participation Indicator Y
Number Of HCPCS 78
Number Of Services 28193
Number Of Medicare Beneficiaries 2753
Total Submitted Charge Amount 1851214.93
Total Medicare Allowed Amount 1462764.27
Total Medicare Payment Amount 1075070.86
Total Medicare Standardized Payment Amount 1012421.04
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 2
Number Of Drug Services 556
Number Of Medicare Beneficiaries With Drug Services 125
Total Drug Submitted ChargeAmount 24097.06
Total Drug Medicare AllowedAmount 19906.78
Total Drug Medicare PaymentAmount 15562.56
Total Drug Medicare Standardized Payment Amount 15562.56
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 76
Number Of Medical Services 27637
Number Of Medicare Beneficiaries With Medical Services 2753
Total Medical Submitted Charge Amount 1827117.87
Total Medical Medicare Allowed Amount 1442857.49
Total Medical Medicare Payment Amount 1059508.3
Total Medical Medicare Standardized Payment Amount 996858.48
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 143
Number Of Beneficiaries Age 65 to 74 1307
Number Of Beneficiaries Age 75 to 84 925
Number Of Beneficiaries Age Greater 84 378
Number Of Female Beneficiaries 1423
Number Of Male Beneficiaries 1330
Number Of Non Hispanic White Beneficiaries 2403
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 33
Number Of Hispanic Beneficiaries 261
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified 26
Number Of Beneficiaries With Medicare Only Entitlement 2585
Number Of Beneficiaries With Medicare Medicaid Entitlement 168
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 10
Percent Of With Cancer 10
Percent Of With Heart Failure 15
Percent Of With Chronic Kidney Disease 19
Percent Of With Chronic Obstructive Pulmonary Disease 11
Percent Of With Depression 10
Percent Of With Diabetes 27
Percent Of With Hyperlipidemia 51
Percent Of With Hypertension 62
Percent Of With Ischemic Heart Disease 34
Percent Of With Osteoporosis 6
Percent Of With Rheumatoid Arthritis Osteoarthritis 34
Percent Of With Schizophrenia Other PsychoticDisorders 1
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 0.9972

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