| National Provider Identifier [NPI]: | 1174637276 |
| Last Name Of The Provider | LIN |
| First Name Of The Provider | JOHN |
| Middle Initial Of The Provider | P |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1300 N VERMONT AVE |
| Street Address 2 Of The Provider | DEPT OF RADIOLOGY |
| City Of The Provider | LOS ANGELES |
| Zip Code Of The Provider | 900276005 |
| 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 | 184 |
| Number Of Services | 10026 |
| Number Of Medicare Beneficiaries | 4546 |
| Total Submitted Charge Amount | 1075058 |
| Total Medicare Allowed Amount | 227133.15 |
| Total Medicare Payment Amount | 165016.11 |
| Total Medicare Standardized Payment Amount | 155420.75 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 2645 |
| Number Of Medicare Beneficiaries With Drug Services | 29 |
| Total Drug Submitted ChargeAmount | 3097 |
| Total Drug Medicare AllowedAmount | 632.24 |
| Total Drug Medicare PaymentAmount | 495.66 |
| Total Drug Medicare Standardized Payment Amount | 495.66 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 181 |
| Number Of Medical Services | 7381 |
| Number Of Medicare Beneficiaries With Medical Services | 4546 |
| Total Medical Submitted Charge Amount | 1071961 |
| Total Medical Medicare Allowed Amount | 226500.91 |
| Total Medical Medicare Payment Amount | 164520.45 |
| Total Medical Medicare Standardized Payment Amount | 154925.09 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 809 |
| Number Of Beneficiaries Age 65 to 74 | 1326 |
| Number Of Beneficiaries Age 75 to 84 | 1381 |
| Number Of Beneficiaries Age Greater 84 | 1030 |
| Number Of Female Beneficiaries | 2660 |
| Number Of Male Beneficiaries | 1886 |
| Number Of Non Hispanic White Beneficiaries | 2269 |
| Number Of Black or African American Beneficiaries | 571 |
| Number Of AsianPacific Islander Beneficiaries | 592 |
| Number Of Hispanic Beneficiaries | 1003 |
| Number Of American Indian Alaska Native Beneficiaries | 12 |
| Number Of Beneficiaries With Race Not Else where Classified | 99 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1392 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 3154 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 34 |
| Percent Of With Asthma | 16 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 49 |
| Percent Of With Chronic Kidney Disease | 51 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 37 |
| Percent Of With Depression | 39 |
| Percent Of With Diabetes | 57 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 66 |
| Percent Of With Osteoporosis | 18 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 61 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 18 |
| Percent Of With Stroke | 16 |
| Average HCC Risk Score Of Beneficiaries | 2.626 |