National Provider Identifier [NPI]: |
1508923343 |
Last Name Of The Provider |
LINDSAY |
First Name Of The Provider |
ALLEN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
PH.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1609 PASADENA AVE S |
Street Address 2 Of The Provider |
SUITE 4M |
City Of The Provider |
SOUTH PASADENA |
Zip Code Of The Provider |
337074565 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Psychiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
7 |
Number Of Services |
1035 |
Number Of Medicare Beneficiaries |
402 |
Total Submitted Charge Amount |
218530 |
Total Medicare Allowed Amount |
108177.69 |
Total Medicare Payment Amount |
84162.39 |
Total Medicare Standardized Payment Amount |
81721.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
7 |
Number Of Medical Services |
1035 |
Number Of Medicare Beneficiaries With Medical Services |
402 |
Total Medical Submitted Charge Amount |
218530 |
Total Medical Medicare Allowed Amount |
108177.69 |
Total Medical Medicare Payment Amount |
84162.39 |
Total Medical Medicare Standardized Payment Amount |
81721.98 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
135 |
Number Of Beneficiaries Age 65 to 74 |
99 |
Number Of Beneficiaries Age 75 to 84 |
94 |
Number Of Beneficiaries Age Greater 84 |
74 |
Number Of Female Beneficiaries |
243 |
Number Of Male Beneficiaries |
159 |
Number Of Non Hispanic White Beneficiaries |
371 |
Number Of Black or African American Beneficiaries |
19 |
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 |
242 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
160 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
41 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
47 |
Percent Of With Depression |
75 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
22 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.1715 |