National Provider Identifier [NPI]: |
1326346164 |
Last Name Of The Provider |
PINION |
First Name Of The Provider |
SPENCER |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
420 S REEVES AVE STE B |
Street Address 2 Of The Provider |
|
City Of The Provider |
DOVER |
Zip Code Of The Provider |
446222162 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
1141 |
Number Of Medicare Beneficiaries |
276 |
Total Submitted Charge Amount |
117949.75 |
Total Medicare Allowed Amount |
68751.56 |
Total Medicare Payment Amount |
51233.6 |
Total Medicare Standardized Payment Amount |
53449.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
182 |
Number Of Medicare Beneficiaries With Drug Services |
123 |
Total Drug Submitted ChargeAmount |
8427 |
Total Drug Medicare AllowedAmount |
4887.12 |
Total Drug Medicare PaymentAmount |
4622.61 |
Total Drug Medicare Standardized Payment Amount |
4622.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
959 |
Number Of Medicare Beneficiaries With Medical Services |
276 |
Total Medical Submitted Charge Amount |
109522.75 |
Total Medical Medicare Allowed Amount |
63864.44 |
Total Medical Medicare Payment Amount |
46610.99 |
Total Medical Medicare Standardized Payment Amount |
48827.04 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
20 |
Number Of Beneficiaries Age 65 to 74 |
123 |
Number Of Beneficiaries Age 75 to 84 |
82 |
Number Of Beneficiaries Age Greater 84 |
51 |
Number Of Female Beneficiaries |
146 |
Number Of Male Beneficiaries |
130 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
257 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
19 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
|
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
6 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
8 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
23 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.789 |