National Provider Identifier [NPI]: |
1649207416 |
Last Name Of The Provider |
LINDER |
First Name Of The Provider |
TIMOTHY |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1 PRIME CARE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
SELMER |
Zip Code Of The Provider |
383751864 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
172 |
Number Of Services |
10356 |
Number Of Medicare Beneficiaries |
754 |
Total Submitted Charge Amount |
685767 |
Total Medicare Allowed Amount |
318113.11 |
Total Medicare Payment Amount |
227239.84 |
Total Medicare Standardized Payment Amount |
248106.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
23 |
Number Of Drug Services |
2420 |
Number Of Medicare Beneficiaries With Drug Services |
452 |
Total Drug Submitted ChargeAmount |
45051 |
Total Drug Medicare AllowedAmount |
20560.62 |
Total Drug Medicare PaymentAmount |
16923.7 |
Total Drug Medicare Standardized Payment Amount |
16923.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
149 |
Number Of Medical Services |
7936 |
Number Of Medicare Beneficiaries With Medical Services |
754 |
Total Medical Submitted Charge Amount |
640716 |
Total Medical Medicare Allowed Amount |
297552.49 |
Total Medical Medicare Payment Amount |
210316.14 |
Total Medical Medicare Standardized Payment Amount |
231183.14 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
91 |
Number Of Beneficiaries Age 65 to 74 |
348 |
Number Of Beneficiaries Age 75 to 84 |
226 |
Number Of Beneficiaries Age Greater 84 |
89 |
Number Of Female Beneficiaries |
454 |
Number Of Male Beneficiaries |
300 |
Number Of Non Hispanic White Beneficiaries |
735 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
607 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
147 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
37 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
0.9778 |