National Provider Identifier [NPI]: |
1851394837 |
Last Name Of The Provider |
LIN |
First Name Of The Provider |
KI-HON |
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 |
150 CLINIC AVE |
Street Address 2 Of The Provider |
STE 101 |
City Of The Provider |
CARROLLTON |
Zip Code Of The Provider |
301174401 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
122 |
Number Of Services |
4833 |
Number Of Medicare Beneficiaries |
477 |
Total Submitted Charge Amount |
1662334 |
Total Medicare Allowed Amount |
382458.88 |
Total Medicare Payment Amount |
285455.4 |
Total Medicare Standardized Payment Amount |
308169.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
2763 |
Number Of Medicare Beneficiaries With Drug Services |
285 |
Total Drug Submitted ChargeAmount |
29938 |
Total Drug Medicare AllowedAmount |
4953.26 |
Total Drug Medicare PaymentAmount |
3812.14 |
Total Drug Medicare Standardized Payment Amount |
3812.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
114 |
Number Of Medical Services |
2070 |
Number Of Medicare Beneficiaries With Medical Services |
476 |
Total Medical Submitted Charge Amount |
1632396 |
Total Medical Medicare Allowed Amount |
377505.62 |
Total Medical Medicare Payment Amount |
281643.26 |
Total Medical Medicare Standardized Payment Amount |
304357.71 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
127 |
Number Of Beneficiaries Age 65 to 74 |
171 |
Number Of Beneficiaries Age 75 to 84 |
138 |
Number Of Beneficiaries Age Greater 84 |
41 |
Number Of Female Beneficiaries |
291 |
Number Of Male Beneficiaries |
186 |
Number Of Non Hispanic White Beneficiaries |
414 |
Number Of Black or African American Beneficiaries |
52 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
354 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
123 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3313 |