Medicare Facts for Dr. Scott M. Pinter, MD


National Provider Identifier [NPI]: 1174527626
Last Name Of The Provider PINTER
First Name Of The Provider SCOTT
Middle Initial Of The Provider M
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1505 EASTLAND DR
Street Address 2 Of The Provider STE 2200
City Of The Provider BLOOMINGTON
Zip Code Of The Provider 617017910
State Code Of The Provider IL
Country Code Of The Provider US
Provider Type Of The Provider Ophthalmology
Medicare Participation Indicator Y
Number Of HCPCS 53
Number Of Services 8805
Number Of Medicare Beneficiaries 1070
Total Submitted Charge Amount 552540.5
Total Medicare Allowed Amount 499790.46
Total Medicare Payment Amount 365230.12
Total Medicare Standardized Payment Amount 387499
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 915
Number Of Medicare Beneficiaries With Drug Services 42
Total Drug Submitted ChargeAmount 19001
Total Drug Medicare AllowedAmount 15846.7
Total Drug Medicare PaymentAmount 12221.37
Total Drug Medicare Standardized Payment Amount 12221.37
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 49
Number Of Medical Services 7890
Number Of Medicare Beneficiaries With Medical Services 1070
Total Medical Submitted Charge Amount 533539.5
Total Medical Medicare Allowed Amount 483943.76
Total Medical Medicare Payment Amount 353008.75
Total Medical Medicare Standardized Payment Amount 375277.63
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 58
Number Of Beneficiaries Age 65 to 74 531
Number Of Beneficiaries Age 75 to 84 336
Number Of Beneficiaries Age Greater 84 145
Number Of Female Beneficiaries 622
Number Of Male Beneficiaries 448
Number Of Non Hispanic White Beneficiaries 1021
Number Of Black or African American Beneficiaries 18
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 20
Number Of Beneficiaries With Medicare Only Entitlement 1006
Number Of Beneficiaries With Medicare Medicaid Entitlement 64
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 5
Percent Of With Asthma 4
Percent Of With Cancer 12
Percent Of With Heart Failure 10
Percent Of With Chronic Kidney Disease 18
Percent Of With Chronic Obstructive Pulmonary Disease 10
Percent Of With Depression 14
Percent Of With Diabetes 26
Percent Of With Hyperlipidemia 57
Percent Of With Hypertension 61
Percent Of With Ischemic Heart Disease 31
Percent Of With Osteoporosis 5
Percent Of With Rheumatoid Arthritis Osteoarthritis 35
Percent Of With Schizophrenia Other PsychoticDisorders 1
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 0.9697

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