National Provider Identifier [NPI]: |
1235127184 |
Last Name Of The Provider |
LYND |
First Name Of The Provider |
GARY |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
724 W FRANKLIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
JACKSON |
Zip Code Of The Provider |
492012008 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
71 |
Number Of Services |
11857 |
Number Of Medicare Beneficiaries |
569 |
Total Submitted Charge Amount |
843083.5 |
Total Medicare Allowed Amount |
631911.14 |
Total Medicare Payment Amount |
454561.4 |
Total Medicare Standardized Payment Amount |
496971.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
22 |
Number Of Drug Services |
5008 |
Number Of Medicare Beneficiaries With Drug Services |
394 |
Total Drug Submitted ChargeAmount |
87637 |
Total Drug Medicare AllowedAmount |
27539.66 |
Total Drug Medicare PaymentAmount |
24398.81 |
Total Drug Medicare Standardized Payment Amount |
24398.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
6849 |
Number Of Medicare Beneficiaries With Medical Services |
568 |
Total Medical Submitted Charge Amount |
755446.5 |
Total Medical Medicare Allowed Amount |
604371.48 |
Total Medical Medicare Payment Amount |
430162.59 |
Total Medical Medicare Standardized Payment Amount |
472572.84 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
233 |
Number Of Beneficiaries Age 65 to 74 |
185 |
Number Of Beneficiaries Age 75 to 84 |
104 |
Number Of Beneficiaries Age Greater 84 |
47 |
Number Of Female Beneficiaries |
263 |
Number Of Male Beneficiaries |
306 |
Number Of Non Hispanic White Beneficiaries |
505 |
Number Of Black or African American Beneficiaries |
50 |
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 |
393 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
176 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
2 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1863 |