National Provider Identifier [NPI]: |
1336141563 |
Last Name Of The Provider |
LINDSEY |
First Name Of The Provider |
BRAD |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2225 US HWY 41 N |
Street Address 2 Of The Provider |
|
City Of The Provider |
TIFTON |
Zip Code Of The Provider |
31794 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
7495 |
Number Of Medicare Beneficiaries |
734 |
Total Submitted Charge Amount |
363750.8 |
Total Medicare Allowed Amount |
167515.5 |
Total Medicare Payment Amount |
123485.1 |
Total Medicare Standardized Payment Amount |
129551.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
5828 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
87196 |
Total Drug Medicare AllowedAmount |
31770.07 |
Total Drug Medicare PaymentAmount |
24907.76 |
Total Drug Medicare Standardized Payment Amount |
24907.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
1667 |
Number Of Medicare Beneficiaries With Medical Services |
734 |
Total Medical Submitted Charge Amount |
276554.8 |
Total Medical Medicare Allowed Amount |
135745.43 |
Total Medical Medicare Payment Amount |
98577.34 |
Total Medical Medicare Standardized Payment Amount |
104643.99 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
197 |
Number Of Beneficiaries Age 65 to 74 |
271 |
Number Of Beneficiaries Age 75 to 84 |
206 |
Number Of Beneficiaries Age Greater 84 |
60 |
Number Of Female Beneficiaries |
447 |
Number Of Male Beneficiaries |
287 |
Number Of Non Hispanic White Beneficiaries |
601 |
Number Of Black or African American Beneficiaries |
121 |
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 |
505 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
229 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
1.4985 |