National Provider Identifier [NPI]: |
1104855667 |
Last Name Of The Provider |
DOWD |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5716 CLEVELAND ST |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
VIRGINIA BEACH |
Zip Code Of The Provider |
234621784 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
10713 |
Number Of Medicare Beneficiaries |
1370 |
Total Submitted Charge Amount |
3378101.45 |
Total Medicare Allowed Amount |
739474.93 |
Total Medicare Payment Amount |
558011.1 |
Total Medicare Standardized Payment Amount |
571764.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
5413 |
Number Of Medicare Beneficiaries With Drug Services |
403 |
Total Drug Submitted ChargeAmount |
39432.45 |
Total Drug Medicare AllowedAmount |
24918.1 |
Total Drug Medicare PaymentAmount |
19303.91 |
Total Drug Medicare Standardized Payment Amount |
19303.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
5300 |
Number Of Medicare Beneficiaries With Medical Services |
1370 |
Total Medical Submitted Charge Amount |
3338669 |
Total Medical Medicare Allowed Amount |
714556.83 |
Total Medical Medicare Payment Amount |
538707.19 |
Total Medical Medicare Standardized Payment Amount |
552460.68 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
62 |
Number Of Beneficiaries Age 65 to 74 |
671 |
Number Of Beneficiaries Age 75 to 84 |
494 |
Number Of Beneficiaries Age Greater 84 |
143 |
Number Of Female Beneficiaries |
915 |
Number Of Male Beneficiaries |
455 |
Number Of Non Hispanic White Beneficiaries |
1140 |
Number Of Black or African American Beneficiaries |
182 |
Number Of AsianPacific Islander Beneficiaries |
13 |
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
1310 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
60 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0055 |