National Provider Identifier [NPI]: |
1093978462 |
Last Name Of The Provider |
LIN |
First Name Of The Provider |
YUYU |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8980 161ST AVE NE |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
REDMOND |
Zip Code Of The Provider |
980527554 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
318 |
Number Of Medicare Beneficiaries |
139 |
Total Submitted Charge Amount |
51699 |
Total Medicare Allowed Amount |
25087.67 |
Total Medicare Payment Amount |
16746.47 |
Total Medicare Standardized Payment Amount |
15871.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
27 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
505 |
Total Drug Medicare AllowedAmount |
358.49 |
Total Drug Medicare PaymentAmount |
349.29 |
Total Drug Medicare Standardized Payment Amount |
349.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
20 |
Number Of Medical Services |
291 |
Number Of Medicare Beneficiaries With Medical Services |
139 |
Total Medical Submitted Charge Amount |
51194 |
Total Medical Medicare Allowed Amount |
24729.18 |
Total Medical Medicare Payment Amount |
16397.18 |
Total Medical Medicare Standardized Payment Amount |
15522.43 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
74 |
Number Of Beneficiaries Age 75 to 84 |
25 |
Number Of Beneficiaries Age Greater 84 |
18 |
Number Of Female Beneficiaries |
65 |
Number Of Male Beneficiaries |
74 |
Number Of Non Hispanic White Beneficiaries |
117 |
Number Of Black or African American Beneficiaries |
|
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 |
109 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
30 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
40 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9707 |