National Provider Identifier [NPI]: |
1164461968 |
Last Name Of The Provider |
BOWMAN |
First Name Of The Provider |
ANDREW |
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 |
255 W LANCASTER AVE |
Street Address 2 Of The Provider |
MEDICAL OFFICE BLDG II - SUITE 328 |
City Of The Provider |
PAOLI |
Zip Code Of The Provider |
193011763 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
69 |
Number Of Services |
5367 |
Number Of Medicare Beneficiaries |
1653 |
Total Submitted Charge Amount |
1390119.24 |
Total Medicare Allowed Amount |
443283.86 |
Total Medicare Payment Amount |
335517.69 |
Total Medicare Standardized Payment Amount |
319003.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
215 |
Number Of Medicare Beneficiaries With Drug Services |
60 |
Total Drug Submitted ChargeAmount |
9156.76 |
Total Drug Medicare AllowedAmount |
9124.9 |
Total Drug Medicare PaymentAmount |
7154.11 |
Total Drug Medicare Standardized Payment Amount |
7154.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
5152 |
Number Of Medicare Beneficiaries With Medical Services |
1653 |
Total Medical Submitted Charge Amount |
1380962.48 |
Total Medical Medicare Allowed Amount |
434158.96 |
Total Medical Medicare Payment Amount |
328363.58 |
Total Medical Medicare Standardized Payment Amount |
311849.72 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
78 |
Number Of Beneficiaries Age 65 to 74 |
549 |
Number Of Beneficiaries Age 75 to 84 |
543 |
Number Of Beneficiaries Age Greater 84 |
483 |
Number Of Female Beneficiaries |
884 |
Number Of Male Beneficiaries |
769 |
Number Of Non Hispanic White Beneficiaries |
1554 |
Number Of Black or African American Beneficiaries |
45 |
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
1541 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
112 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.5188 |