National Provider Identifier [NPI]: |
1902014129 |
Last Name Of The Provider |
LIN |
First Name Of The Provider |
TONI |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5255 E STOP 11 RD |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
INDIANAPOLIS |
Zip Code Of The Provider |
462376340 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hand Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
649 |
Number Of Medicare Beneficiaries |
194 |
Total Submitted Charge Amount |
221071 |
Total Medicare Allowed Amount |
68532.15 |
Total Medicare Payment Amount |
51934.03 |
Total Medicare Standardized Payment Amount |
54911.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
86 |
Number Of Medicare Beneficiaries With Drug Services |
52 |
Total Drug Submitted ChargeAmount |
860 |
Total Drug Medicare AllowedAmount |
434.61 |
Total Drug Medicare PaymentAmount |
337.92 |
Total Drug Medicare Standardized Payment Amount |
337.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
563 |
Number Of Medicare Beneficiaries With Medical Services |
194 |
Total Medical Submitted Charge Amount |
220211 |
Total Medical Medicare Allowed Amount |
68097.54 |
Total Medical Medicare Payment Amount |
51596.11 |
Total Medical Medicare Standardized Payment Amount |
54573.41 |
Average Age Of Beneficiaries |
62 |
Number Of Beneficiaries Age Less65 |
110 |
Number Of Beneficiaries Age 65 to 74 |
61 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
120 |
Number Of Male Beneficiaries |
74 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
103 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
69 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
125 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
10 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.6194 |