Medicare Facts for Dr. Jose R. Pinero, MD


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

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