National Provider Identifier [NPI]: |
1982645925 |
Last Name Of The Provider |
LIN |
First Name Of The Provider |
GERALD |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7500 GREENWAY CENTER DR |
Street Address 2 Of The Provider |
8TH FLOOR |
City Of The Provider |
GREENBELT |
Zip Code Of The Provider |
207703502 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
1983 |
Number Of Medicare Beneficiaries |
242 |
Total Submitted Charge Amount |
290501 |
Total Medicare Allowed Amount |
110695.28 |
Total Medicare Payment Amount |
79752.43 |
Total Medicare Standardized Payment Amount |
75180.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
448 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
71000 |
Total Drug Medicare AllowedAmount |
21020.2 |
Total Drug Medicare PaymentAmount |
16479.81 |
Total Drug Medicare Standardized Payment Amount |
16479.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
1535 |
Number Of Medicare Beneficiaries With Medical Services |
242 |
Total Medical Submitted Charge Amount |
219501 |
Total Medical Medicare Allowed Amount |
89675.08 |
Total Medical Medicare Payment Amount |
63272.62 |
Total Medical Medicare Standardized Payment Amount |
58700.94 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
11 |
Number Of Beneficiaries Age 65 to 74 |
96 |
Number Of Beneficiaries Age 75 to 84 |
109 |
Number Of Beneficiaries Age Greater 84 |
26 |
Number Of Female Beneficiaries |
42 |
Number Of Male Beneficiaries |
200 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
86 |
Number Of AsianPacific Islander Beneficiaries |
83 |
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 |
202 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
40 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
|
Percent Of With Cancer |
29 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
|
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1269 |