National Provider Identifier [NPI]: |
1578563458 |
Last Name Of The Provider |
PINSKI |
First Name Of The Provider |
ANN |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
D.P.M. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3901 DUTCHMANS LN |
Street Address 2 Of The Provider |
SUITE 103 |
City Of The Provider |
LOUISVILLE |
Zip Code Of The Provider |
402074722 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
3165 |
Number Of Medicare Beneficiaries |
460 |
Total Submitted Charge Amount |
221023.5 |
Total Medicare Allowed Amount |
144261.75 |
Total Medicare Payment Amount |
103328.45 |
Total Medicare Standardized Payment Amount |
113785.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
618 |
Number Of Medicare Beneficiaries With Drug Services |
31 |
Total Drug Submitted ChargeAmount |
1437.5 |
Total Drug Medicare AllowedAmount |
735.5 |
Total Drug Medicare PaymentAmount |
553.13 |
Total Drug Medicare Standardized Payment Amount |
553.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
2547 |
Number Of Medicare Beneficiaries With Medical Services |
460 |
Total Medical Submitted Charge Amount |
219586 |
Total Medical Medicare Allowed Amount |
143526.25 |
Total Medical Medicare Payment Amount |
102775.32 |
Total Medical Medicare Standardized Payment Amount |
113232.75 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
59 |
Number Of Beneficiaries Age 65 to 74 |
145 |
Number Of Beneficiaries Age 75 to 84 |
165 |
Number Of Beneficiaries Age Greater 84 |
91 |
Number Of Female Beneficiaries |
290 |
Number Of Male Beneficiaries |
170 |
Number Of Non Hispanic White Beneficiaries |
379 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
409 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
51 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.4401 |