| National Provider Identifier [NPI]: | 1164599155 |
| Last Name Of The Provider | LIN |
| First Name Of The Provider | JAMES |
| Middle Initial Of The Provider | Y |
| Credentials Of The Provider | DO |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 5401 PEACH ST |
| Street Address 2 Of The Provider | SUITE 3600 |
| City Of The Provider | ERIE |
| Zip Code Of The Provider | 165092601 |
| State Code Of The Provider | PA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Geriatric Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 65 |
| Number Of Services | 9939 |
| Number Of Medicare Beneficiaries | 3326 |
| Total Submitted Charge Amount | 522442 |
| Total Medicare Allowed Amount | 397887.38 |
| Total Medicare Payment Amount | 326072.25 |
| Total Medicare Standardized Payment Amount | 321395.63 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 9 |
| Number Of Drug Services | 3374 |
| Number Of Medicare Beneficiaries With Drug Services | 2545 |
| Total Drug Submitted ChargeAmount | 83923 |
| Total Drug Medicare AllowedAmount | 62042.79 |
| Total Drug Medicare PaymentAmount | 58409.28 |
| Total Drug Medicare Standardized Payment Amount | 58409.28 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 56 |
| Number Of Medical Services | 6565 |
| Number Of Medicare Beneficiaries With Medical Services | 3325 |
| Total Medical Submitted Charge Amount | 438519 |
| Total Medical Medicare Allowed Amount | 335844.59 |
| Total Medical Medicare Payment Amount | 267662.97 |
| Total Medical Medicare Standardized Payment Amount | 262986.35 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 231 |
| Number Of Beneficiaries Age 65 to 74 | 1073 |
| Number Of Beneficiaries Age 75 to 84 | 1166 |
| Number Of Beneficiaries Age Greater 84 | 856 |
| Number Of Female Beneficiaries | 2125 |
| Number Of Male Beneficiaries | 1201 |
| Number Of Non Hispanic White Beneficiaries | 3210 |
| Number Of Black or African American Beneficiaries | 63 |
| 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 | 30 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2813 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 513 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 5 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 19 |
| Percent Of With Chronic Kidney Disease | 18 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 12 |
| Percent Of With Depression | 23 |
| Percent Of With Diabetes | 29 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 69 |
| Percent Of With Ischemic Heart Disease | 33 |
| Percent Of With Osteoporosis | 16 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.1549 |