National Provider Identifier [NPI]: |
1205037983 |
Last Name Of The Provider |
LIN |
First Name Of The Provider |
KAREN |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1304 ELLA ST |
Street Address 2 Of The Provider |
SUITE B1 |
City Of The Provider |
SAN LUIS OBISPO |
Zip Code Of The Provider |
934014100 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
9975 |
Number Of Medicare Beneficiaries |
479 |
Total Submitted Charge Amount |
775041 |
Total Medicare Allowed Amount |
261645.01 |
Total Medicare Payment Amount |
193004.73 |
Total Medicare Standardized Payment Amount |
187222.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
8501 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
119625 |
Total Drug Medicare AllowedAmount |
46837.59 |
Total Drug Medicare PaymentAmount |
35730.03 |
Total Drug Medicare Standardized Payment Amount |
35730.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
1474 |
Number Of Medicare Beneficiaries With Medical Services |
479 |
Total Medical Submitted Charge Amount |
655416 |
Total Medical Medicare Allowed Amount |
214807.42 |
Total Medical Medicare Payment Amount |
157274.7 |
Total Medical Medicare Standardized Payment Amount |
151492.58 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
130 |
Number Of Beneficiaries Age 65 to 74 |
171 |
Number Of Beneficiaries Age 75 to 84 |
122 |
Number Of Beneficiaries Age Greater 84 |
56 |
Number Of Female Beneficiaries |
257 |
Number Of Male Beneficiaries |
222 |
Number Of Non Hispanic White Beneficiaries |
419 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
47 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
320 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
159 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
27 |
Average HCC Risk Score Of Beneficiaries |
1.3067 |