Medicare Facts for Dr. Tony N. Pira, MD


National Provider Identifier [NPI]: 1093701765
Last Name Of The Provider PIRA
First Name Of The Provider TONY
Middle Initial Of The Provider N
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2005 BAY ST
Street Address 2 Of The Provider SUITE 201
City Of The Provider TAUNTON
Zip Code Of The Provider 027801085
State Code Of The Provider MA
Country Code Of The Provider US
Provider Type Of The Provider Ophthalmology
Medicare Participation Indicator Y
Number Of HCPCS 35
Number Of Services 676
Number Of Medicare Beneficiaries 441
Total Submitted Charge Amount 209042
Total Medicare Allowed Amount 80007.7
Total Medicare Payment Amount 58104.98
Total Medicare Standardized Payment Amount 54547.17
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 35
Number Of Medical Services 676
Number Of Medicare Beneficiaries With Medical Services 441
Total Medical Submitted Charge Amount 209042
Total Medical Medicare Allowed Amount 80007.7
Total Medical Medicare Payment Amount 58104.98
Total Medical Medicare Standardized Payment Amount 54547.17
Average Age Of Beneficiaries 69
Number Of Beneficiaries Age Less65 99
Number Of Beneficiaries Age 65 to 74 213
Number Of Beneficiaries Age 75 to 84 103
Number Of Beneficiaries Age Greater 84 26
Number Of Female Beneficiaries 237
Number Of Male Beneficiaries 204
Number Of Non Hispanic White Beneficiaries 233
Number Of Black or African American Beneficiaries 114
Number Of AsianPacific Islander Beneficiaries 19
Number Of Hispanic Beneficiaries 56
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified 19
Number Of Beneficiaries With Medicare Only Entitlement 244
Number Of Beneficiaries With Medicare Medicaid Entitlement 197
Percent Of With Atrial Fibrillation 7
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 6
Percent Of With Cancer 9
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 21
Percent Of With Chronic Obstructive Pulmonary Disease 11
Percent Of With Depression 29
Percent Of With Diabetes 41
Percent Of With Hyperlipidemia 55
Percent Of With Hypertension 68
Percent Of With Ischemic Heart Disease 29
Percent Of With Osteoporosis 6
Percent Of With Rheumatoid Arthritis Osteoarthritis 30
Percent Of With Schizophrenia Other PsychoticDisorders 5
Percent Of With Stroke 7
Average HCC Risk Score Of Beneficiaries 1.2541

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