National Provider Identifier [NPI]: |
1417093691 |
Last Name Of The Provider |
LIN |
First Name Of The Provider |
CHENYI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
281 LINCOLN ST |
Street Address 2 Of The Provider |
MED STAFF SVCS |
City Of The Provider |
WORCESTER |
Zip Code Of The Provider |
016052138 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
2761 |
Number Of Medicare Beneficiaries |
388 |
Total Submitted Charge Amount |
313585 |
Total Medicare Allowed Amount |
110461.21 |
Total Medicare Payment Amount |
82797.34 |
Total Medicare Standardized Payment Amount |
77724.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
31 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
1353 |
Total Drug Medicare AllowedAmount |
414.95 |
Total Drug Medicare PaymentAmount |
362.65 |
Total Drug Medicare Standardized Payment Amount |
362.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
2730 |
Number Of Medicare Beneficiaries With Medical Services |
388 |
Total Medical Submitted Charge Amount |
312232 |
Total Medical Medicare Allowed Amount |
110046.26 |
Total Medical Medicare Payment Amount |
82434.69 |
Total Medical Medicare Standardized Payment Amount |
77361.91 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
52 |
Number Of Beneficiaries Age 65 to 74 |
174 |
Number Of Beneficiaries Age 75 to 84 |
115 |
Number Of Beneficiaries Age Greater 84 |
47 |
Number Of Female Beneficiaries |
243 |
Number Of Male Beneficiaries |
145 |
Number Of Non Hispanic White Beneficiaries |
354 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
317 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
71 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.271 |