National Provider Identifier [NPI]: |
1386607653 |
Last Name Of The Provider |
LYNCH |
First Name Of The Provider |
EDWARD |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2000 MEADE PARKWAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
SUFFOLK |
Zip Code Of The Provider |
234344259 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
93 |
Number Of Services |
7092 |
Number Of Medicare Beneficiaries |
2007 |
Total Submitted Charge Amount |
1389735.75 |
Total Medicare Allowed Amount |
537290.97 |
Total Medicare Payment Amount |
400812.15 |
Total Medicare Standardized Payment Amount |
412150.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
509 |
Number Of Medicare Beneficiaries With Drug Services |
119 |
Total Drug Submitted ChargeAmount |
88186.11 |
Total Drug Medicare AllowedAmount |
25245.64 |
Total Drug Medicare PaymentAmount |
19435.41 |
Total Drug Medicare Standardized Payment Amount |
19435.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
90 |
Number Of Medical Services |
6583 |
Number Of Medicare Beneficiaries With Medical Services |
2007 |
Total Medical Submitted Charge Amount |
1301549.64 |
Total Medical Medicare Allowed Amount |
512045.33 |
Total Medical Medicare Payment Amount |
381376.74 |
Total Medical Medicare Standardized Payment Amount |
392714.76 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
234 |
Number Of Beneficiaries Age 65 to 74 |
797 |
Number Of Beneficiaries Age 75 to 84 |
667 |
Number Of Beneficiaries Age Greater 84 |
309 |
Number Of Female Beneficiaries |
1043 |
Number Of Male Beneficiaries |
964 |
Number Of Non Hispanic White Beneficiaries |
1382 |
Number Of Black or African American Beneficiaries |
596 |
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 |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
1674 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
333 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.581 |