National Provider Identifier [NPI]: |
1679612436 |
Last Name Of The Provider |
LYNCH |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1275 E SPRUCE AVE |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
FRESNO |
Zip Code Of The Provider |
937203345 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
128 |
Number Of Services |
11977 |
Number Of Medicare Beneficiaries |
1079 |
Total Submitted Charge Amount |
1170171 |
Total Medicare Allowed Amount |
776908.77 |
Total Medicare Payment Amount |
571462.36 |
Total Medicare Standardized Payment Amount |
556968.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
18 |
Number Of Drug Services |
1827 |
Number Of Medicare Beneficiaries With Drug Services |
629 |
Total Drug Submitted ChargeAmount |
91750 |
Total Drug Medicare AllowedAmount |
63125.46 |
Total Drug Medicare PaymentAmount |
55289.43 |
Total Drug Medicare Standardized Payment Amount |
55289.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
110 |
Number Of Medical Services |
10150 |
Number Of Medicare Beneficiaries With Medical Services |
1079 |
Total Medical Submitted Charge Amount |
1078421 |
Total Medical Medicare Allowed Amount |
713783.31 |
Total Medical Medicare Payment Amount |
516172.93 |
Total Medical Medicare Standardized Payment Amount |
501679.52 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
65 |
Number Of Beneficiaries Age 65 to 74 |
431 |
Number Of Beneficiaries Age 75 to 84 |
364 |
Number Of Beneficiaries Age Greater 84 |
219 |
Number Of Female Beneficiaries |
551 |
Number Of Male Beneficiaries |
528 |
Number Of Non Hispanic White Beneficiaries |
915 |
Number Of Black or African American Beneficiaries |
25 |
Number Of AsianPacific Islander Beneficiaries |
30 |
Number Of Hispanic Beneficiaries |
95 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
982 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
97 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1731 |