National Provider Identifier [NPI]: |
1710097399 |
Last Name Of The Provider |
LYNN |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2006 FRANKLIN ST SE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
HUNTSVILLE |
Zip Code Of The Provider |
358014551 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
184 |
Number Of Services |
17417 |
Number Of Medicare Beneficiaries |
3519 |
Total Submitted Charge Amount |
682662.45 |
Total Medicare Allowed Amount |
252860.41 |
Total Medicare Payment Amount |
194236.75 |
Total Medicare Standardized Payment Amount |
222508.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
11815 |
Number Of Medicare Beneficiaries With Drug Services |
131 |
Total Drug Submitted ChargeAmount |
12760 |
Total Drug Medicare AllowedAmount |
2750.71 |
Total Drug Medicare PaymentAmount |
2087.15 |
Total Drug Medicare Standardized Payment Amount |
2087.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
182 |
Number Of Medical Services |
5602 |
Number Of Medicare Beneficiaries With Medical Services |
3519 |
Total Medical Submitted Charge Amount |
669902.45 |
Total Medical Medicare Allowed Amount |
250109.7 |
Total Medical Medicare Payment Amount |
192149.6 |
Total Medical Medicare Standardized Payment Amount |
220421.25 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
899 |
Number Of Beneficiaries Age 65 to 74 |
1216 |
Number Of Beneficiaries Age 75 to 84 |
990 |
Number Of Beneficiaries Age Greater 84 |
414 |
Number Of Female Beneficiaries |
2067 |
Number Of Male Beneficiaries |
1452 |
Number Of Non Hispanic White Beneficiaries |
2915 |
Number Of Black or African American Beneficiaries |
534 |
Number Of AsianPacific Islander Beneficiaries |
24 |
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2606 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
913 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.7706 |