National Provider Identifier [NPI]: |
1326021262 |
Last Name Of The Provider |
PINSON |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
13636 DIX TOLEDO RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SOUTHGATE |
Zip Code Of The Provider |
481952432 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
135 |
Number Of Services |
12839 |
Number Of Medicare Beneficiaries |
516 |
Total Submitted Charge Amount |
711431.18 |
Total Medicare Allowed Amount |
467580.51 |
Total Medicare Payment Amount |
363623.36 |
Total Medicare Standardized Payment Amount |
391535.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
4280 |
Number Of Medicare Beneficiaries With Drug Services |
287 |
Total Drug Submitted ChargeAmount |
28742.18 |
Total Drug Medicare AllowedAmount |
16513.1 |
Total Drug Medicare PaymentAmount |
13672.49 |
Total Drug Medicare Standardized Payment Amount |
13672.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
121 |
Number Of Medical Services |
8559 |
Number Of Medicare Beneficiaries With Medical Services |
516 |
Total Medical Submitted Charge Amount |
682689 |
Total Medical Medicare Allowed Amount |
451067.41 |
Total Medical Medicare Payment Amount |
349950.87 |
Total Medical Medicare Standardized Payment Amount |
377862.54 |
Average Age Of Beneficiaries |
57 |
Number Of Beneficiaries Age Less65 |
360 |
Number Of Beneficiaries Age 65 to 74 |
97 |
Number Of Beneficiaries Age 75 to 84 |
40 |
Number Of Beneficiaries Age Greater 84 |
19 |
Number Of Female Beneficiaries |
245 |
Number Of Male Beneficiaries |
271 |
Number Of Non Hispanic White Beneficiaries |
452 |
Number Of Black or African American Beneficiaries |
43 |
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 |
206 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
310 |
Percent Of With Atrial Fibrillation |
4 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3316 |