National Provider Identifier [NPI]: |
1356482855 |
Last Name Of The Provider |
LIN |
First Name Of The Provider |
HANK |
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 |
2801 K ST |
Street Address 2 Of The Provider |
SUITE 502 |
City Of The Provider |
SACRAMENTO |
Zip Code Of The Provider |
958165120 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
149 |
Number Of Services |
14977 |
Number Of Medicare Beneficiaries |
1880 |
Total Submitted Charge Amount |
1362524.77 |
Total Medicare Allowed Amount |
290406.2 |
Total Medicare Payment Amount |
227559.11 |
Total Medicare Standardized Payment Amount |
215588.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
12436 |
Number Of Medicare Beneficiaries With Drug Services |
202 |
Total Drug Submitted ChargeAmount |
18146 |
Total Drug Medicare AllowedAmount |
3377.98 |
Total Drug Medicare PaymentAmount |
2648.28 |
Total Drug Medicare Standardized Payment Amount |
2648.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
140 |
Number Of Medical Services |
2541 |
Number Of Medicare Beneficiaries With Medical Services |
1880 |
Total Medical Submitted Charge Amount |
1344378.77 |
Total Medical Medicare Allowed Amount |
287028.22 |
Total Medical Medicare Payment Amount |
224910.83 |
Total Medical Medicare Standardized Payment Amount |
212940.4 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
254 |
Number Of Beneficiaries Age 65 to 74 |
869 |
Number Of Beneficiaries Age 75 to 84 |
546 |
Number Of Beneficiaries Age Greater 84 |
211 |
Number Of Female Beneficiaries |
1228 |
Number Of Male Beneficiaries |
652 |
Number Of Non Hispanic White Beneficiaries |
1501 |
Number Of Black or African American Beneficiaries |
80 |
Number Of AsianPacific Islander Beneficiaries |
110 |
Number Of Hispanic Beneficiaries |
132 |
Number Of American Indian Alaska Native Beneficiaries |
18 |
Number Of Beneficiaries With Race Not Else where Classified |
39 |
Number Of Beneficiaries With Medicare Only Entitlement |
1485 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
395 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1811 |