National Provider Identifier [NPI]: |
1144269820 |
Last Name Of The Provider |
LIN |
First Name Of The Provider |
HELEN |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2055 W HOSPITAL DR |
Street Address 2 Of The Provider |
SUITE 255 |
City Of The Provider |
TUCSON |
Zip Code Of The Provider |
857047892 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
146 |
Number Of Services |
2516 |
Number Of Medicare Beneficiaries |
220 |
Total Submitted Charge Amount |
165927 |
Total Medicare Allowed Amount |
86133.74 |
Total Medicare Payment Amount |
69552.64 |
Total Medicare Standardized Payment Amount |
70513.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
442 |
Number Of Medicare Beneficiaries With Drug Services |
75 |
Total Drug Submitted ChargeAmount |
7203.5 |
Total Drug Medicare AllowedAmount |
3763.41 |
Total Drug Medicare PaymentAmount |
3657.6 |
Total Drug Medicare Standardized Payment Amount |
3657.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
136 |
Number Of Medical Services |
2074 |
Number Of Medicare Beneficiaries With Medical Services |
220 |
Total Medical Submitted Charge Amount |
158723.5 |
Total Medical Medicare Allowed Amount |
82370.33 |
Total Medical Medicare Payment Amount |
65895.04 |
Total Medical Medicare Standardized Payment Amount |
66856.15 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
147 |
Number Of Beneficiaries Age 75 to 84 |
42 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
155 |
Number Of Male Beneficiaries |
65 |
Number Of Non Hispanic White Beneficiaries |
182 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
209 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
11 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
46 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
16 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9065 |