National Provider Identifier [NPI]: |
1144309840 |
Last Name Of The Provider |
PINERO |
First Name Of The Provider |
JOSE |
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 |
7100 W 20TH AVE |
Street Address 2 Of The Provider |
SUITE 314 |
City Of The Provider |
HIALEAH |
Zip Code Of The Provider |
330161897 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
3425 |
Number Of Medicare Beneficiaries |
526 |
Total Submitted Charge Amount |
743081.52 |
Total Medicare Allowed Amount |
303534.79 |
Total Medicare Payment Amount |
214520.39 |
Total Medicare Standardized Payment Amount |
201511.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
44 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
5137.4 |
Total Drug Medicare AllowedAmount |
2141.52 |
Total Drug Medicare PaymentAmount |
1678.95 |
Total Drug Medicare Standardized Payment Amount |
1678.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
3381 |
Number Of Medicare Beneficiaries With Medical Services |
526 |
Total Medical Submitted Charge Amount |
737944.12 |
Total Medical Medicare Allowed Amount |
301393.27 |
Total Medical Medicare Payment Amount |
212841.44 |
Total Medical Medicare Standardized Payment Amount |
199832.84 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
32 |
Number Of Beneficiaries Age 65 to 74 |
140 |
Number Of Beneficiaries Age 75 to 84 |
228 |
Number Of Beneficiaries Age Greater 84 |
126 |
Number Of Female Beneficiaries |
324 |
Number Of Male Beneficiaries |
202 |
Number Of Non Hispanic White Beneficiaries |
100 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
415 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
234 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
292 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.5558 |