Medicare Facts for Dr. Emily R. Pineda, MD


National Provider Identifier [NPI]: 1376512368
Last Name Of The Provider PINEDA
First Name Of The Provider EMILY
Middle Initial Of The Provider R
Credentials Of The Provider M.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 5414 FREDERICKSBURG RD STE 150
Street Address 2 Of The Provider
City Of The Provider SAN ANTONIO
Zip Code Of The Provider 782293652
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Rheumatology
Medicare Participation Indicator Y
Number Of HCPCS 43
Number Of Services 25360
Number Of Medicare Beneficiaries 523
Total Submitted Charge Amount 2002016.4
Total Medicare Allowed Amount 1056688.05
Total Medicare Payment Amount 763434.8
Total Medicare Standardized Payment Amount 788781.16
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 16
Number Of Drug Services 21975
Number Of Medicare Beneficiaries With Drug Services 273
Total Drug Submitted ChargeAmount 1437095.44
Total Drug Medicare AllowedAmount 780256.45
Total Drug Medicare PaymentAmount 572212.79
Total Drug Medicare Standardized Payment Amount 572212.79
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 27
Number Of Medical Services 3385
Number Of Medicare Beneficiaries With Medical Services 523
Total Medical Submitted Charge Amount 564920.96
Total Medical Medicare Allowed Amount 276431.6
Total Medical Medicare Payment Amount 191222.01
Total Medical Medicare Standardized Payment Amount 216568.37
Average Age Of Beneficiaries 69
Number Of Beneficiaries Age Less65 114
Number Of Beneficiaries Age 65 to 74 266
Number Of Beneficiaries Age 75 to 84 122
Number Of Beneficiaries Age Greater 84 21
Number Of Female Beneficiaries 440
Number Of Male Beneficiaries 83
Number Of Non Hispanic White Beneficiaries 293
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 193
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 495
Number Of Beneficiaries With Medicare Medicaid Entitlement 28
Percent Of With Atrial Fibrillation 5
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 11
Percent Of With Cancer 7
Percent Of With Heart Failure 12
Percent Of With Chronic Kidney Disease 20
Percent Of With Chronic Obstructive Pulmonary Disease 9
Percent Of With Depression 22
Percent Of With Diabetes 29
Percent Of With Hyperlipidemia 59
Percent Of With Hypertension 63
Percent Of With Ischemic Heart Disease 29
Percent Of With Osteoporosis 18
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders 2
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.2625

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