National Provider Identifier [NPI]: |
1851543888 |
Last Name Of The Provider |
LINDEMANN |
First Name Of The Provider |
CAREY |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4800A NE STALLINGS DR. |
Street Address 2 Of The Provider |
SUITE 1500 |
City Of The Provider |
NACOGDOCHES |
Zip Code Of The Provider |
759651207 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
83 |
Number Of Services |
3875 |
Number Of Medicare Beneficiaries |
434 |
Total Submitted Charge Amount |
404365.55 |
Total Medicare Allowed Amount |
166434.22 |
Total Medicare Payment Amount |
120264.46 |
Total Medicare Standardized Payment Amount |
127467.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
1577 |
Number Of Medicare Beneficiaries With Drug Services |
143 |
Total Drug Submitted ChargeAmount |
7069 |
Total Drug Medicare AllowedAmount |
2079.27 |
Total Drug Medicare PaymentAmount |
1673.19 |
Total Drug Medicare Standardized Payment Amount |
1673.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
2298 |
Number Of Medicare Beneficiaries With Medical Services |
434 |
Total Medical Submitted Charge Amount |
397296.55 |
Total Medical Medicare Allowed Amount |
164354.95 |
Total Medical Medicare Payment Amount |
118591.27 |
Total Medical Medicare Standardized Payment Amount |
125793.88 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
156 |
Number Of Beneficiaries Age 65 to 74 |
142 |
Number Of Beneficiaries Age 75 to 84 |
89 |
Number Of Beneficiaries Age Greater 84 |
47 |
Number Of Female Beneficiaries |
330 |
Number Of Male Beneficiaries |
104 |
Number Of Non Hispanic White Beneficiaries |
339 |
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 |
240 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
194 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
35 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3708 |