National Provider Identifier [NPI]: |
1689682593 |
Last Name Of The Provider |
LINDSAY |
First Name Of The Provider |
SIAN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1226 LINCOLN AVE |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
SAN JOSE |
Zip Code Of The Provider |
951253025 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
407 |
Number Of Medicare Beneficiaries |
134 |
Total Submitted Charge Amount |
36640.44 |
Total Medicare Allowed Amount |
35850.7 |
Total Medicare Payment Amount |
25460.67 |
Total Medicare Standardized Payment Amount |
21656.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
40 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
1246.23 |
Total Drug Medicare AllowedAmount |
905 |
Total Drug Medicare PaymentAmount |
879.22 |
Total Drug Medicare Standardized Payment Amount |
879.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
367 |
Number Of Medicare Beneficiaries With Medical Services |
134 |
Total Medical Submitted Charge Amount |
35394.21 |
Total Medical Medicare Allowed Amount |
34945.7 |
Total Medical Medicare Payment Amount |
24581.45 |
Total Medical Medicare Standardized Payment Amount |
20777.03 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
12 |
Number Of Beneficiaries Age 65 to 74 |
67 |
Number Of Beneficiaries Age 75 to 84 |
34 |
Number Of Beneficiaries Age Greater 84 |
21 |
Number Of Female Beneficiaries |
98 |
Number Of Male Beneficiaries |
36 |
Number Of Non Hispanic White Beneficiaries |
114 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
|
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
42 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
0 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0726 |