National Provider Identifier [NPI]: |
1447363767 |
Last Name Of The Provider |
PINCUS |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
500 J CLYDE MORRIS BLVD |
Street Address 2 Of The Provider |
RIVERSIDE REGIONAL MEDICAL CENTER |
City Of The Provider |
NEWPORT NEWS |
Zip Code Of The Provider |
23601 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
198 |
Number Of Services |
5920 |
Number Of Medicare Beneficiaries |
4018 |
Total Submitted Charge Amount |
759818 |
Total Medicare Allowed Amount |
213150.75 |
Total Medicare Payment Amount |
156364.08 |
Total Medicare Standardized Payment Amount |
162018.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
198 |
Number Of Medical Services |
5920 |
Number Of Medicare Beneficiaries With Medical Services |
4018 |
Total Medical Submitted Charge Amount |
759818 |
Total Medical Medicare Allowed Amount |
213150.75 |
Total Medical Medicare Payment Amount |
156364.08 |
Total Medical Medicare Standardized Payment Amount |
162018.94 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
642 |
Number Of Beneficiaries Age 65 to 74 |
1502 |
Number Of Beneficiaries Age 75 to 84 |
1238 |
Number Of Beneficiaries Age Greater 84 |
636 |
Number Of Female Beneficiaries |
2383 |
Number Of Male Beneficiaries |
1635 |
Number Of Non Hispanic White Beneficiaries |
2836 |
Number Of Black or African American Beneficiaries |
1051 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
46 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
47 |
Number Of Beneficiaries With Medicare Only Entitlement |
3233 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
785 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.6388 |