National Provider Identifier [NPI]: |
1417955576 |
Last Name Of The Provider |
LIN |
First Name Of The Provider |
DENNIS |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
748 KINGS HWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
WOODBURY |
Zip Code Of The Provider |
080963157 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
174 |
Number Of Services |
13580 |
Number Of Medicare Beneficiaries |
2728 |
Total Submitted Charge Amount |
1643835 |
Total Medicare Allowed Amount |
444083.35 |
Total Medicare Payment Amount |
351058.44 |
Total Medicare Standardized Payment Amount |
330525.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
9143 |
Number Of Medicare Beneficiaries With Drug Services |
150 |
Total Drug Submitted ChargeAmount |
13738 |
Total Drug Medicare AllowedAmount |
3625.58 |
Total Drug Medicare PaymentAmount |
2842.45 |
Total Drug Medicare Standardized Payment Amount |
2842.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
170 |
Number Of Medical Services |
4437 |
Number Of Medicare Beneficiaries With Medical Services |
2728 |
Total Medical Submitted Charge Amount |
1630097 |
Total Medical Medicare Allowed Amount |
440457.77 |
Total Medical Medicare Payment Amount |
348215.99 |
Total Medical Medicare Standardized Payment Amount |
327682.91 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
466 |
Number Of Beneficiaries Age 65 to 74 |
1092 |
Number Of Beneficiaries Age 75 to 84 |
775 |
Number Of Beneficiaries Age Greater 84 |
395 |
Number Of Female Beneficiaries |
1844 |
Number Of Male Beneficiaries |
884 |
Number Of Non Hispanic White Beneficiaries |
2341 |
Number Of Black or African American Beneficiaries |
260 |
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
65 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
44 |
Number Of Beneficiaries With Medicare Only Entitlement |
2275 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
453 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.3414 |