National Provider Identifier [NPI]: |
1679652408 |
Last Name Of The Provider |
LINDER |
First Name Of The Provider |
EDWIN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
107 EUREKA ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
BATESVILLE |
Zip Code Of The Provider |
386062533 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
154 |
Number Of Services |
14629 |
Number Of Medicare Beneficiaries |
1503 |
Total Submitted Charge Amount |
784114.71 |
Total Medicare Allowed Amount |
535911.93 |
Total Medicare Payment Amount |
381478.05 |
Total Medicare Standardized Payment Amount |
425326.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
1145 |
Number Of Medicare Beneficiaries With Drug Services |
644 |
Total Drug Submitted ChargeAmount |
19527.94 |
Total Drug Medicare AllowedAmount |
12247.37 |
Total Drug Medicare PaymentAmount |
11540.75 |
Total Drug Medicare Standardized Payment Amount |
11540.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
139 |
Number Of Medical Services |
13484 |
Number Of Medicare Beneficiaries With Medical Services |
1503 |
Total Medical Submitted Charge Amount |
764586.77 |
Total Medical Medicare Allowed Amount |
523664.56 |
Total Medical Medicare Payment Amount |
369937.3 |
Total Medical Medicare Standardized Payment Amount |
413786.08 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
305 |
Number Of Beneficiaries Age 65 to 74 |
562 |
Number Of Beneficiaries Age 75 to 84 |
429 |
Number Of Beneficiaries Age Greater 84 |
207 |
Number Of Female Beneficiaries |
873 |
Number Of Male Beneficiaries |
630 |
Number Of Non Hispanic White Beneficiaries |
1125 |
Number Of Black or African American Beneficiaries |
363 |
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 |
946 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
557 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
40 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.258 |