National Provider Identifier [NPI]: |
1356430227 |
Last Name Of The Provider |
BOWMAN |
First Name Of The Provider |
AARON |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6130 PLUMAS ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
RENO |
Zip Code Of The Provider |
895196060 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
85 |
Number Of Services |
52412 |
Number Of Medicare Beneficiaries |
384 |
Total Submitted Charge Amount |
3278039 |
Total Medicare Allowed Amount |
897618.27 |
Total Medicare Payment Amount |
623488.82 |
Total Medicare Standardized Payment Amount |
621292.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
50 |
Number Of Drug Services |
49450 |
Number Of Medicare Beneficiaries With Drug Services |
83 |
Total Drug Submitted ChargeAmount |
2688574 |
Total Drug Medicare AllowedAmount |
710396.72 |
Total Drug Medicare PaymentAmount |
486418.6 |
Total Drug Medicare Standardized Payment Amount |
486418.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
2962 |
Number Of Medicare Beneficiaries With Medical Services |
384 |
Total Medical Submitted Charge Amount |
589465 |
Total Medical Medicare Allowed Amount |
187221.55 |
Total Medical Medicare Payment Amount |
137070.22 |
Total Medical Medicare Standardized Payment Amount |
134874.31 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
45 |
Number Of Beneficiaries Age 65 to 74 |
199 |
Number Of Beneficiaries Age 75 to 84 |
112 |
Number Of Beneficiaries Age Greater 84 |
28 |
Number Of Female Beneficiaries |
231 |
Number Of Male Beneficiaries |
153 |
Number Of Non Hispanic White Beneficiaries |
346 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
348 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
36 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
55 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.6258 |