National Provider Identifier [NPI]: |
1558307694 |
Last Name Of The Provider |
PINKER |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
47 BROOKWOOD AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CARLISLE |
Zip Code Of The Provider |
17015 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
3503 |
Number Of Medicare Beneficiaries |
816 |
Total Submitted Charge Amount |
255117 |
Total Medicare Allowed Amount |
182578.98 |
Total Medicare Payment Amount |
130065.94 |
Total Medicare Standardized Payment Amount |
137684.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
17 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
255 |
Total Drug Medicare AllowedAmount |
97.13 |
Total Drug Medicare PaymentAmount |
71.62 |
Total Drug Medicare Standardized Payment Amount |
71.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
3486 |
Number Of Medicare Beneficiaries With Medical Services |
816 |
Total Medical Submitted Charge Amount |
254862 |
Total Medical Medicare Allowed Amount |
182481.85 |
Total Medical Medicare Payment Amount |
129994.32 |
Total Medical Medicare Standardized Payment Amount |
137613.06 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
83 |
Number Of Beneficiaries Age 65 to 74 |
226 |
Number Of Beneficiaries Age 75 to 84 |
261 |
Number Of Beneficiaries Age Greater 84 |
246 |
Number Of Female Beneficiaries |
493 |
Number Of Male Beneficiaries |
323 |
Number Of Non Hispanic White Beneficiaries |
785 |
Number Of Black or African American Beneficiaries |
15 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
533 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
283 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.65 |