National Provider Identifier [NPI]: |
1306805544 |
Last Name Of The Provider |
LINCOLN |
First Name Of The Provider |
CRAIG |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
927 FRANKLIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
HUNTSVILLE |
Zip Code Of The Provider |
35801 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
4200 |
Number Of Medicare Beneficiaries |
1013 |
Total Submitted Charge Amount |
658319 |
Total Medicare Allowed Amount |
245271.03 |
Total Medicare Payment Amount |
183203.04 |
Total Medicare Standardized Payment Amount |
196590.77 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
401 |
Number Of Medicare Beneficiaries With Drug Services |
352 |
Total Drug Submitted ChargeAmount |
7639 |
Total Drug Medicare AllowedAmount |
1217.99 |
Total Drug Medicare PaymentAmount |
925.81 |
Total Drug Medicare Standardized Payment Amount |
925.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
3799 |
Number Of Medicare Beneficiaries With Medical Services |
1013 |
Total Medical Submitted Charge Amount |
650680 |
Total Medical Medicare Allowed Amount |
244053.04 |
Total Medical Medicare Payment Amount |
182277.23 |
Total Medical Medicare Standardized Payment Amount |
195664.96 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
112 |
Number Of Beneficiaries Age 65 to 74 |
439 |
Number Of Beneficiaries Age 75 to 84 |
359 |
Number Of Beneficiaries Age Greater 84 |
103 |
Number Of Female Beneficiaries |
660 |
Number Of Male Beneficiaries |
353 |
Number Of Non Hispanic White Beneficiaries |
926 |
Number Of Black or African American Beneficiaries |
63 |
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 |
906 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
107 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.0888 |