National Provider Identifier [NPI]: |
1669484127 |
Last Name Of The Provider |
LINDE |
First Name Of The Provider |
RANDOLPH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
795 EL CAMINO REAL |
Street Address 2 Of The Provider |
|
City Of The Provider |
PALO ALTO |
Zip Code Of The Provider |
943012302 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
16 |
Number Of Services |
4152 |
Number Of Medicare Beneficiaries |
343 |
Total Submitted Charge Amount |
290930 |
Total Medicare Allowed Amount |
107405.76 |
Total Medicare Payment Amount |
78681.79 |
Total Medicare Standardized Payment Amount |
73887.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
3614 |
Number Of Medicare Beneficiaries With Drug Services |
49 |
Total Drug Submitted ChargeAmount |
186476 |
Total Drug Medicare AllowedAmount |
64308.1 |
Total Drug Medicare PaymentAmount |
50015.29 |
Total Drug Medicare Standardized Payment Amount |
50015.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
9 |
Number Of Medical Services |
538 |
Number Of Medicare Beneficiaries With Medical Services |
343 |
Total Medical Submitted Charge Amount |
104454 |
Total Medical Medicare Allowed Amount |
43097.66 |
Total Medical Medicare Payment Amount |
28666.5 |
Total Medical Medicare Standardized Payment Amount |
23872.22 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
16 |
Number Of Beneficiaries Age 65 to 74 |
178 |
Number Of Beneficiaries Age 75 to 84 |
107 |
Number Of Beneficiaries Age Greater 84 |
42 |
Number Of Female Beneficiaries |
212 |
Number Of Male Beneficiaries |
131 |
Number Of Non Hispanic White Beneficiaries |
250 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
59 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
316 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
27 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
3 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
46 |
Percent Of With Ischemic Heart Disease |
17 |
Percent Of With Osteoporosis |
34 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9697 |