National Provider Identifier [NPI]: |
1235193467 |
Last Name Of The Provider |
BOWEN |
First Name Of The Provider |
AARON |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2721 OLIVE HWY |
Street Address 2 Of The Provider |
STE 12 |
City Of The Provider |
OROVILLE |
Zip Code Of The Provider |
95966 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
7360 |
Number Of Medicare Beneficiaries |
1568 |
Total Submitted Charge Amount |
596502.21 |
Total Medicare Allowed Amount |
516145.14 |
Total Medicare Payment Amount |
355294.19 |
Total Medicare Standardized Payment Amount |
341873.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
369 |
Number Of Medicare Beneficiaries With Drug Services |
95 |
Total Drug Submitted ChargeAmount |
5463.2 |
Total Drug Medicare AllowedAmount |
1447.89 |
Total Drug Medicare PaymentAmount |
1272.31 |
Total Drug Medicare Standardized Payment Amount |
1272.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
6991 |
Number Of Medicare Beneficiaries With Medical Services |
1568 |
Total Medical Submitted Charge Amount |
591039.01 |
Total Medical Medicare Allowed Amount |
514697.25 |
Total Medical Medicare Payment Amount |
354021.88 |
Total Medical Medicare Standardized Payment Amount |
340601.5 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
405 |
Number Of Beneficiaries Age 65 to 74 |
560 |
Number Of Beneficiaries Age 75 to 84 |
411 |
Number Of Beneficiaries Age Greater 84 |
192 |
Number Of Female Beneficiaries |
900 |
Number Of Male Beneficiaries |
668 |
Number Of Non Hispanic White Beneficiaries |
1377 |
Number Of Black or African American Beneficiaries |
38 |
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
110 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
986 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
582 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.5484 |