National Provider Identifier [NPI]: |
1386623502 |
Last Name Of The Provider |
LININGER |
First Name Of The Provider |
TODD |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
799 DENISON CT |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
BLOOMFIELD |
Zip Code Of The Provider |
483020301 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Anesthesiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
89 |
Number Of Services |
40289 |
Number Of Medicare Beneficiaries |
816 |
Total Submitted Charge Amount |
1873249.98 |
Total Medicare Allowed Amount |
712088.51 |
Total Medicare Payment Amount |
505320.91 |
Total Medicare Standardized Payment Amount |
480937.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
35745 |
Number Of Medicare Beneficiaries With Drug Services |
405 |
Total Drug Submitted ChargeAmount |
70426.5 |
Total Drug Medicare AllowedAmount |
49323.27 |
Total Drug Medicare PaymentAmount |
21478.07 |
Total Drug Medicare Standardized Payment Amount |
21478.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
4544 |
Number Of Medicare Beneficiaries With Medical Services |
816 |
Total Medical Submitted Charge Amount |
1802823.48 |
Total Medical Medicare Allowed Amount |
662765.24 |
Total Medical Medicare Payment Amount |
483842.84 |
Total Medical Medicare Standardized Payment Amount |
459459.81 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
405 |
Number Of Beneficiaries Age 65 to 74 |
246 |
Number Of Beneficiaries Age 75 to 84 |
116 |
Number Of Beneficiaries Age Greater 84 |
49 |
Number Of Female Beneficiaries |
526 |
Number Of Male Beneficiaries |
290 |
Number Of Non Hispanic White Beneficiaries |
716 |
Number Of Black or African American Beneficiaries |
65 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
635 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
181 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4018 |