| National Provider Identifier [NPI]: | 1790759165 |
| Last Name Of The Provider | LIN |
| First Name Of The Provider | HO |
| Middle Initial Of The Provider | N |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 705 DIXIE ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | CARROLLTON |
| Zip Code Of The Provider | 301173818 |
| State Code Of The Provider | GA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 154 |
| Number Of Services | 17446 |
| Number Of Medicare Beneficiaries | 2655 |
| Total Submitted Charge Amount | 1477400.69 |
| Total Medicare Allowed Amount | 294851.07 |
| Total Medicare Payment Amount | 224834.56 |
| Total Medicare Standardized Payment Amount | 228563.12 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 13505 |
| Number Of Medicare Beneficiaries With Drug Services | 145 |
| Total Drug Submitted ChargeAmount | 37749.85 |
| Total Drug Medicare AllowedAmount | 2706.52 |
| Total Drug Medicare PaymentAmount | 2085.67 |
| Total Drug Medicare Standardized Payment Amount | 2085.67 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 149 |
| Number Of Medical Services | 3941 |
| Number Of Medicare Beneficiaries With Medical Services | 2653 |
| Total Medical Submitted Charge Amount | 1439650.84 |
| Total Medical Medicare Allowed Amount | 292144.55 |
| Total Medical Medicare Payment Amount | 222748.89 |
| Total Medical Medicare Standardized Payment Amount | 226477.45 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 435 |
| Number Of Beneficiaries Age 65 to 74 | 1147 |
| Number Of Beneficiaries Age 75 to 84 | 744 |
| Number Of Beneficiaries Age Greater 84 | 329 |
| Number Of Female Beneficiaries | 1736 |
| Number Of Male Beneficiaries | 919 |
| Number Of Non Hispanic White Beneficiaries | 2262 |
| Number Of Black or African American Beneficiaries | 317 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 42 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 23 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2063 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 592 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 21 |
| Percent Of With Chronic Kidney Disease | 28 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 21 |
| Percent Of With Depression | 22 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 38 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.3588 |