National Provider Identifier [NPI]: |
1437101623 |
Last Name Of The Provider |
RINK |
First Name Of The Provider |
LISA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
217 WHITE HORSE PIKE |
Street Address 2 Of The Provider |
|
City Of The Provider |
HADDON HEIGHTS |
Zip Code Of The Provider |
080351703 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
6414 |
Number Of Medicare Beneficiaries |
1020 |
Total Submitted Charge Amount |
610953.5 |
Total Medicare Allowed Amount |
421291.43 |
Total Medicare Payment Amount |
316047.72 |
Total Medicare Standardized Payment Amount |
298278.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
1293 |
Number Of Medicare Beneficiaries With Drug Services |
306 |
Total Drug Submitted ChargeAmount |
15215 |
Total Drug Medicare AllowedAmount |
5276.55 |
Total Drug Medicare PaymentAmount |
4944.73 |
Total Drug Medicare Standardized Payment Amount |
4944.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
5121 |
Number Of Medicare Beneficiaries With Medical Services |
1020 |
Total Medical Submitted Charge Amount |
595738.5 |
Total Medical Medicare Allowed Amount |
416014.88 |
Total Medical Medicare Payment Amount |
311102.99 |
Total Medical Medicare Standardized Payment Amount |
293333.61 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
157 |
Number Of Beneficiaries Age 65 to 74 |
307 |
Number Of Beneficiaries Age 75 to 84 |
278 |
Number Of Beneficiaries Age Greater 84 |
278 |
Number Of Female Beneficiaries |
639 |
Number Of Male Beneficiaries |
381 |
Number Of Non Hispanic White Beneficiaries |
731 |
Number Of Black or African American Beneficiaries |
197 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
71 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
654 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
366 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
39 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
2.1699 |