National Provider Identifier [NPI]: |
1285608547 |
Last Name Of The Provider |
LIN |
First Name Of The Provider |
GRACE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 1ST ST SW |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROCHESTER |
Zip Code Of The Provider |
559050001 |
State Code Of The Provider |
MN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiac Electrophysiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
5282 |
Number Of Medicare Beneficiaries |
3892 |
Total Submitted Charge Amount |
231290.9 |
Total Medicare Allowed Amount |
130382.08 |
Total Medicare Payment Amount |
95391.36 |
Total Medicare Standardized Payment Amount |
105157.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
5282 |
Number Of Medicare Beneficiaries With Medical Services |
3892 |
Total Medical Submitted Charge Amount |
231290.9 |
Total Medical Medicare Allowed Amount |
130382.08 |
Total Medical Medicare Payment Amount |
95391.36 |
Total Medical Medicare Standardized Payment Amount |
105157.83 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
516 |
Number Of Beneficiaries Age 65 to 74 |
1406 |
Number Of Beneficiaries Age 75 to 84 |
1324 |
Number Of Beneficiaries Age Greater 84 |
646 |
Number Of Female Beneficiaries |
1758 |
Number Of Male Beneficiaries |
2134 |
Number Of Non Hispanic White Beneficiaries |
3694 |
Number Of Black or African American Beneficiaries |
42 |
Number Of AsianPacific Islander Beneficiaries |
41 |
Number Of Hispanic Beneficiaries |
36 |
Number Of American Indian Alaska Native Beneficiaries |
15 |
Number Of Beneficiaries With Race Not Else where Classified |
64 |
Number Of Beneficiaries With Medicare Only Entitlement |
3391 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
501 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.6459 |