National Provider Identifier [NPI]: |
1225056773 |
Last Name Of The Provider |
LIN |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
300 NORTH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
BATTLE CREEK |
Zip Code Of The Provider |
49016 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
1831 |
Number Of Medicare Beneficiaries |
1087 |
Total Submitted Charge Amount |
694151 |
Total Medicare Allowed Amount |
202561.23 |
Total Medicare Payment Amount |
154988.34 |
Total Medicare Standardized Payment Amount |
157166.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
1831 |
Number Of Medicare Beneficiaries With Medical Services |
1087 |
Total Medical Submitted Charge Amount |
694151 |
Total Medical Medicare Allowed Amount |
202561.23 |
Total Medical Medicare Payment Amount |
154988.34 |
Total Medical Medicare Standardized Payment Amount |
157166.58 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
413 |
Number Of Beneficiaries Age 65 to 74 |
258 |
Number Of Beneficiaries Age 75 to 84 |
235 |
Number Of Beneficiaries Age Greater 84 |
181 |
Number Of Female Beneficiaries |
658 |
Number Of Male Beneficiaries |
429 |
Number Of Non Hispanic White Beneficiaries |
873 |
Number Of Black or African American Beneficiaries |
176 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
600 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
487 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
43 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.8704 |