National Provider Identifier [NPI]: |
1033280268 |
Last Name Of The Provider |
LINDNER |
First Name Of The Provider |
DANIEL |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5708 E LAKE SAMMAMISH PKWY SE |
Street Address 2 Of The Provider |
|
City Of The Provider |
ISSAQUAH |
Zip Code Of The Provider |
980298942 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
3372 |
Number Of Medicare Beneficiaries |
275 |
Total Submitted Charge Amount |
75429.54 |
Total Medicare Allowed Amount |
26828.66 |
Total Medicare Payment Amount |
18588.88 |
Total Medicare Standardized Payment Amount |
20584.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
2927 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
3455.41 |
Total Drug Medicare AllowedAmount |
2243.58 |
Total Drug Medicare PaymentAmount |
1757.19 |
Total Drug Medicare Standardized Payment Amount |
1757.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
445 |
Number Of Medicare Beneficiaries With Medical Services |
275 |
Total Medical Submitted Charge Amount |
71974.13 |
Total Medical Medicare Allowed Amount |
24585.08 |
Total Medical Medicare Payment Amount |
16831.69 |
Total Medical Medicare Standardized Payment Amount |
18827.55 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
28 |
Number Of Beneficiaries Age 65 to 74 |
114 |
Number Of Beneficiaries Age 75 to 84 |
84 |
Number Of Beneficiaries Age Greater 84 |
49 |
Number Of Female Beneficiaries |
184 |
Number Of Male Beneficiaries |
91 |
Number Of Non Hispanic White Beneficiaries |
243 |
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 |
247 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
28 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
17 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9973 |