National Provider Identifier [NPI]: |
1881891042 |
Last Name Of The Provider |
LINEHAN |
First Name Of The Provider |
JENNIFER |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1500 DUARTE RD |
Street Address 2 Of The Provider |
UROLOGIC ONCOLOGY MOB 2001D |
City Of The Provider |
DUARTE |
Zip Code Of The Provider |
910103012 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
115 |
Number Of Services |
1792 |
Number Of Medicare Beneficiaries |
355 |
Total Submitted Charge Amount |
676020.89 |
Total Medicare Allowed Amount |
186677.2 |
Total Medicare Payment Amount |
142750.25 |
Total Medicare Standardized Payment Amount |
133183.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
564 |
Number Of Medicare Beneficiaries With Drug Services |
68 |
Total Drug Submitted ChargeAmount |
41515.66 |
Total Drug Medicare AllowedAmount |
6508.56 |
Total Drug Medicare PaymentAmount |
4980.81 |
Total Drug Medicare Standardized Payment Amount |
4980.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
101 |
Number Of Medical Services |
1228 |
Number Of Medicare Beneficiaries With Medical Services |
355 |
Total Medical Submitted Charge Amount |
634505.23 |
Total Medical Medicare Allowed Amount |
180168.64 |
Total Medical Medicare Payment Amount |
137769.44 |
Total Medical Medicare Standardized Payment Amount |
128202.23 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
41 |
Number Of Beneficiaries Age 65 to 74 |
164 |
Number Of Beneficiaries Age 75 to 84 |
111 |
Number Of Beneficiaries Age Greater 84 |
39 |
Number Of Female Beneficiaries |
169 |
Number Of Male Beneficiaries |
186 |
Number Of Non Hispanic White Beneficiaries |
268 |
Number Of Black or African American Beneficiaries |
34 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
267 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
88 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
23 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.8529 |