National Provider Identifier [NPI]: |
1023189214 |
Last Name Of The Provider |
LINDER |
First Name Of The Provider |
BRUCE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3050 MONTVALE DR STE A |
Street Address 2 Of The Provider |
|
City Of The Provider |
SPRINGFIELD |
Zip Code Of The Provider |
627046924 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
178 |
Number Of Services |
7805 |
Number Of Medicare Beneficiaries |
3687 |
Total Submitted Charge Amount |
1295034.5 |
Total Medicare Allowed Amount |
235199.56 |
Total Medicare Payment Amount |
188034.74 |
Total Medicare Standardized Payment Amount |
192868.32 |
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 |
178 |
Number Of Medical Services |
7805 |
Number Of Medicare Beneficiaries With Medical Services |
3687 |
Total Medical Submitted Charge Amount |
1295034.5 |
Total Medical Medicare Allowed Amount |
235199.56 |
Total Medical Medicare Payment Amount |
188034.74 |
Total Medical Medicare Standardized Payment Amount |
192868.32 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
561 |
Number Of Beneficiaries Age 65 to 74 |
1387 |
Number Of Beneficiaries Age 75 to 84 |
1116 |
Number Of Beneficiaries Age Greater 84 |
623 |
Number Of Female Beneficiaries |
2361 |
Number Of Male Beneficiaries |
1326 |
Number Of Non Hispanic White Beneficiaries |
3326 |
Number Of Black or African American Beneficiaries |
318 |
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 |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
2813 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
874 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4114 |