National Provider Identifier [NPI]: |
1679569156 |
Last Name Of The Provider |
OWENS |
First Name Of The Provider |
BEN |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
300 CARSON ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
JONESBORO |
Zip Code Of The Provider |
724013104 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
142 |
Number Of Services |
18339 |
Number Of Medicare Beneficiaries |
2309 |
Total Submitted Charge Amount |
1214589 |
Total Medicare Allowed Amount |
576009.29 |
Total Medicare Payment Amount |
437396.75 |
Total Medicare Standardized Payment Amount |
471221.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
476 |
Number Of Medicare Beneficiaries With Drug Services |
332 |
Total Drug Submitted ChargeAmount |
9311 |
Total Drug Medicare AllowedAmount |
6259.54 |
Total Drug Medicare PaymentAmount |
5934.33 |
Total Drug Medicare Standardized Payment Amount |
5934.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
130 |
Number Of Medical Services |
17863 |
Number Of Medicare Beneficiaries With Medical Services |
2309 |
Total Medical Submitted Charge Amount |
1205278 |
Total Medical Medicare Allowed Amount |
569749.75 |
Total Medical Medicare Payment Amount |
431462.42 |
Total Medical Medicare Standardized Payment Amount |
465287.65 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
520 |
Number Of Beneficiaries Age 65 to 74 |
747 |
Number Of Beneficiaries Age 75 to 84 |
657 |
Number Of Beneficiaries Age Greater 84 |
385 |
Number Of Female Beneficiaries |
1372 |
Number Of Male Beneficiaries |
937 |
Number Of Non Hispanic White Beneficiaries |
2133 |
Number Of Black or African American Beneficiaries |
146 |
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 |
1435 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
874 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.695 |