National Provider Identifier [NPI]: |
1982850111 |
Last Name Of The Provider |
LIN |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
501 E HAMPDEN AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
ENGLEWOOD |
Zip Code Of The Provider |
801132702 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
122 |
Number Of Services |
5071 |
Number Of Medicare Beneficiaries |
2711 |
Total Submitted Charge Amount |
552128.5 |
Total Medicare Allowed Amount |
176870.39 |
Total Medicare Payment Amount |
140771.87 |
Total Medicare Standardized Payment Amount |
143055.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1031 |
Number Of Medicare Beneficiaries With Drug Services |
41 |
Total Drug Submitted ChargeAmount |
4559 |
Total Drug Medicare AllowedAmount |
1103.12 |
Total Drug Medicare PaymentAmount |
845.45 |
Total Drug Medicare Standardized Payment Amount |
845.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
120 |
Number Of Medical Services |
4040 |
Number Of Medicare Beneficiaries With Medical Services |
2711 |
Total Medical Submitted Charge Amount |
547569.5 |
Total Medical Medicare Allowed Amount |
175767.27 |
Total Medical Medicare Payment Amount |
139926.42 |
Total Medical Medicare Standardized Payment Amount |
142210.04 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
404 |
Number Of Beneficiaries Age 65 to 74 |
1112 |
Number Of Beneficiaries Age 75 to 84 |
739 |
Number Of Beneficiaries Age Greater 84 |
456 |
Number Of Female Beneficiaries |
1827 |
Number Of Male Beneficiaries |
884 |
Number Of Non Hispanic White Beneficiaries |
2356 |
Number Of Black or African American Beneficiaries |
102 |
Number Of AsianPacific Islander Beneficiaries |
44 |
Number Of Hispanic Beneficiaries |
165 |
Number Of American Indian Alaska Native Beneficiaries |
14 |
Number Of Beneficiaries With Race Not Else where Classified |
30 |
Number Of Beneficiaries With Medicare Only Entitlement |
2224 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
487 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5752 |