National Provider Identifier [NPI]: |
1114972254 |
Last Name Of The Provider |
LIN |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5401 S CONGRESS AVE |
Street Address 2 Of The Provider |
STE 105 |
City Of The Provider |
ATLANTIS |
Zip Code Of The Provider |
334626635 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
96 |
Number Of Services |
349612 |
Number Of Medicare Beneficiaries |
408 |
Total Submitted Charge Amount |
6057332 |
Total Medicare Allowed Amount |
2980870.9 |
Total Medicare Payment Amount |
2279964.4 |
Total Medicare Standardized Payment Amount |
2254742.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
51 |
Number Of Drug Services |
339716 |
Number Of Medicare Beneficiaries With Drug Services |
165 |
Total Drug Submitted ChargeAmount |
5078410 |
Total Drug Medicare AllowedAmount |
2507455.41 |
Total Drug Medicare PaymentAmount |
1913422.05 |
Total Drug Medicare Standardized Payment Amount |
1913422.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
9896 |
Number Of Medicare Beneficiaries With Medical Services |
408 |
Total Medical Submitted Charge Amount |
978922 |
Total Medical Medicare Allowed Amount |
473415.49 |
Total Medical Medicare Payment Amount |
366542.35 |
Total Medical Medicare Standardized Payment Amount |
341320.77 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
105 |
Number Of Beneficiaries Age 75 to 84 |
165 |
Number Of Beneficiaries Age Greater 84 |
109 |
Number Of Female Beneficiaries |
185 |
Number Of Male Beneficiaries |
223 |
Number Of Non Hispanic White Beneficiaries |
347 |
Number Of Black or African American Beneficiaries |
28 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
353 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
55 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
33 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
55 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.2455 |