National Provider Identifier [NPI]: |
1457357170 |
Last Name Of The Provider |
LINCOLN |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2801 K ST |
Street Address 2 Of The Provider |
SUITE 502 |
City Of The Provider |
SACRAMENTO |
Zip Code Of The Provider |
958165120 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
86 |
Number Of Services |
2893 |
Number Of Medicare Beneficiaries |
985 |
Total Submitted Charge Amount |
487996 |
Total Medicare Allowed Amount |
124456.48 |
Total Medicare Payment Amount |
104390 |
Total Medicare Standardized Payment Amount |
98509.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1365 |
Number Of Medicare Beneficiaries With Drug Services |
42 |
Total Drug Submitted ChargeAmount |
3135 |
Total Drug Medicare AllowedAmount |
1501.4 |
Total Drug Medicare PaymentAmount |
1177.14 |
Total Drug Medicare Standardized Payment Amount |
1177.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
82 |
Number Of Medical Services |
1528 |
Number Of Medicare Beneficiaries With Medical Services |
985 |
Total Medical Submitted Charge Amount |
484861 |
Total Medical Medicare Allowed Amount |
122955.08 |
Total Medical Medicare Payment Amount |
103212.86 |
Total Medical Medicare Standardized Payment Amount |
97332.37 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
149 |
Number Of Beneficiaries Age 65 to 74 |
415 |
Number Of Beneficiaries Age 75 to 84 |
263 |
Number Of Beneficiaries Age Greater 84 |
158 |
Number Of Female Beneficiaries |
717 |
Number Of Male Beneficiaries |
268 |
Number Of Non Hispanic White Beneficiaries |
759 |
Number Of Black or African American Beneficiaries |
53 |
Number Of AsianPacific Islander Beneficiaries |
66 |
Number Of Hispanic Beneficiaries |
80 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
759 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
226 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4921 |