National Provider Identifier [NPI]: |
1376593566 |
Last Name Of The Provider |
LINCOLN |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2900 LINDEN LN |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
SILVER SPRING |
Zip Code Of The Provider |
209101265 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
70 |
Number Of Services |
5162 |
Number Of Medicare Beneficiaries |
2272 |
Total Submitted Charge Amount |
859664 |
Total Medicare Allowed Amount |
424168.72 |
Total Medicare Payment Amount |
318983.66 |
Total Medicare Standardized Payment Amount |
284786.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
172 |
Number Of Medicare Beneficiaries With Drug Services |
43 |
Total Drug Submitted ChargeAmount |
13760 |
Total Drug Medicare AllowedAmount |
9112.95 |
Total Drug Medicare PaymentAmount |
6645.08 |
Total Drug Medicare Standardized Payment Amount |
6645.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
4990 |
Number Of Medicare Beneficiaries With Medical Services |
2272 |
Total Medical Submitted Charge Amount |
845904 |
Total Medical Medicare Allowed Amount |
415055.77 |
Total Medical Medicare Payment Amount |
312338.58 |
Total Medical Medicare Standardized Payment Amount |
278141.37 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
209 |
Number Of Beneficiaries Age 65 to 74 |
567 |
Number Of Beneficiaries Age 75 to 84 |
708 |
Number Of Beneficiaries Age Greater 84 |
788 |
Number Of Female Beneficiaries |
1283 |
Number Of Male Beneficiaries |
989 |
Number Of Non Hispanic White Beneficiaries |
1421 |
Number Of Black or African American Beneficiaries |
576 |
Number Of AsianPacific Islander Beneficiaries |
110 |
Number Of Hispanic Beneficiaries |
124 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
41 |
Number Of Beneficiaries With Medicare Only Entitlement |
1803 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
469 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.8396 |