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1. PINNER CLINIC PEAK SOUTH CAROLINA FULL
2. PINNER CLINIC PEAK SOUTH CAROLINA CODE
3. PINNER CLINIC PEAK SOUTH CAROLINA ZIP

PINNER CLINIC PEAK SOUTH CAROLINA CODE

Most Utilized Procedure Code for established patients office visits: 99214

Most Utilized Procedure Code for new patients office visits: 99203Įstablished Patients Office Visits Costs *

PINNER CLINIC PEAK SOUTH CAROLINA ZIP

The prices below reflect the costs for new and established patients in the 29122 ZIP code area. Medicare pricing is usually a reference point for private insurance covered patients. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. The provider accepts as payment the Medicare approved amount. You may have to pay this amount, or it may be covered by another insurer.Įligible order / refer Part B Clinical Laboratory and ImagingĮligible order / refer Durable Medical EquipmentĮligible order / refer Home Health Agency (HHA)Įligible order / refer Power Mobility Devices Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.Ī provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount.

When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Yes "What does it mean "accepts medicare assignment"? Providers must enroll in PECOS to avoid denied claims. A NPI number is necessary to register in PECOS. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS Enrollment and Medicare Participation Status

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.4 for a new patient copayment and $24.79 for an established patient copayment. The provider also has detailed performance information the following quality measures: breast cancer screening, chronic care and preventative care management for empaneled patients, clinical data registry reporting, colorectal cancer screening, diabetes: eye exam, e-prescribing, implementation of medication management practice improvements, measurement and improvement at the practice and panel level, provide patients electronic access to their health information, public health registry reporting, query of the prescription drug monitoring program (pdmp), security risk analysis, support electronic referral loops by sending health information and use of decision support and standardized treatment protocols. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 100, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. According to Medicare claims data he has hospital affiliations with Newberry County Memorial Hospital, Prisma Health Baptist Parkridge, Prisma Health Richland Hospital and Lexington Medical Center. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services.

PINNER CLINIC PEAK SOUTH CAROLINA FULL

The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.īenjamin Pinner is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc Benjamin Pinner is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. sees people with common medical problems. MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINEĪ primary care provider (PCP) like Benjamin Pinner M.d.