National Provider Identifier [NPI]: |
1831182450 |
Last Name Of The Provider |
LIN |
First Name Of The Provider |
HUANG-TA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5307 MAIN ST |
Street Address 2 Of The Provider |
#102 |
City Of The Provider |
NEW PORT RICHEY |
Zip Code Of The Provider |
346522536 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
79 |
Number Of Services |
6781 |
Number Of Medicare Beneficiaries |
2075 |
Total Submitted Charge Amount |
449614.96 |
Total Medicare Allowed Amount |
283634.36 |
Total Medicare Payment Amount |
213264.72 |
Total Medicare Standardized Payment Amount |
213511.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
924 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
3210.96 |
Total Drug Medicare AllowedAmount |
2729.21 |
Total Drug Medicare PaymentAmount |
2154.67 |
Total Drug Medicare Standardized Payment Amount |
2154.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
76 |
Number Of Medical Services |
5857 |
Number Of Medicare Beneficiaries With Medical Services |
2075 |
Total Medical Submitted Charge Amount |
446404 |
Total Medical Medicare Allowed Amount |
280905.15 |
Total Medical Medicare Payment Amount |
211110.05 |
Total Medical Medicare Standardized Payment Amount |
211357.16 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
239 |
Number Of Beneficiaries Age 65 to 74 |
560 |
Number Of Beneficiaries Age 75 to 84 |
748 |
Number Of Beneficiaries Age Greater 84 |
528 |
Number Of Female Beneficiaries |
1086 |
Number Of Male Beneficiaries |
989 |
Number Of Non Hispanic White Beneficiaries |
1947 |
Number Of Black or African American Beneficiaries |
25 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
73 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
1651 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
424 |
Percent Of With Atrial Fibrillation |
37 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
52 |
Percent Of With Chronic Obstructive Pulmonary Disease |
39 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.0161 |