National Provider Identifier [NPI]: |
1740285519 |
Last Name Of The Provider |
RINK |
First Name Of The Provider |
LAWRENCE |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
550 S LANDMARK AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
BLOOMINGTON |
Zip Code Of The Provider |
474033239 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
126 |
Number Of Services |
11501 |
Number Of Medicare Beneficiaries |
1712 |
Total Submitted Charge Amount |
1012588 |
Total Medicare Allowed Amount |
406947.61 |
Total Medicare Payment Amount |
311135.67 |
Total Medicare Standardized Payment Amount |
329192.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
1371 |
Number Of Medicare Beneficiaries With Drug Services |
188 |
Total Drug Submitted ChargeAmount |
25859 |
Total Drug Medicare AllowedAmount |
10191.97 |
Total Drug Medicare PaymentAmount |
8656 |
Total Drug Medicare Standardized Payment Amount |
8656 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
117 |
Number Of Medical Services |
10130 |
Number Of Medicare Beneficiaries With Medical Services |
1712 |
Total Medical Submitted Charge Amount |
986729 |
Total Medical Medicare Allowed Amount |
396755.64 |
Total Medical Medicare Payment Amount |
302479.67 |
Total Medical Medicare Standardized Payment Amount |
320536.67 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
141 |
Number Of Beneficiaries Age 65 to 74 |
560 |
Number Of Beneficiaries Age 75 to 84 |
644 |
Number Of Beneficiaries Age Greater 84 |
367 |
Number Of Female Beneficiaries |
853 |
Number Of Male Beneficiaries |
859 |
Number Of Non Hispanic White Beneficiaries |
1674 |
Number Of Black or African American Beneficiaries |
11 |
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 |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
1523 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
189 |
Percent Of With Atrial Fibrillation |
39 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.3849 |