National Provider Identifier [NPI]: |
1326010299 |
Last Name Of The Provider |
GEICK |
First Name Of The Provider |
LYNN |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3740 UTICA RIDGE RD |
Street Address 2 Of The Provider |
STE B |
City Of The Provider |
BETTENDORF |
Zip Code Of The Provider |
527221624 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
1926 |
Number Of Medicare Beneficiaries |
244 |
Total Submitted Charge Amount |
174045.9 |
Total Medicare Allowed Amount |
91185.34 |
Total Medicare Payment Amount |
69195.68 |
Total Medicare Standardized Payment Amount |
74348.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
340 |
Number Of Medicare Beneficiaries With Drug Services |
119 |
Total Drug Submitted ChargeAmount |
9426.9 |
Total Drug Medicare AllowedAmount |
7762.11 |
Total Drug Medicare PaymentAmount |
7064.19 |
Total Drug Medicare Standardized Payment Amount |
7064.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
1586 |
Number Of Medicare Beneficiaries With Medical Services |
242 |
Total Medical Submitted Charge Amount |
164619 |
Total Medical Medicare Allowed Amount |
83423.23 |
Total Medical Medicare Payment Amount |
62131.49 |
Total Medical Medicare Standardized Payment Amount |
67284.33 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
18 |
Number Of Beneficiaries Age 65 to 74 |
161 |
Number Of Beneficiaries Age 75 to 84 |
52 |
Number Of Beneficiaries Age Greater 84 |
13 |
Number Of Female Beneficiaries |
115 |
Number Of Male Beneficiaries |
129 |
Number Of Non Hispanic White Beneficiaries |
214 |
Number Of Black or African American Beneficiaries |
14 |
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 |
227 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
17 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
6 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
41 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
25 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8189 |