National Provider Identifier [NPI]: |
1942230164 |
Last Name Of The Provider |
ROWDER |
First Name Of The Provider |
NICHOLAS |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
321 W BEN WHITE |
Street Address 2 Of The Provider |
STE 205 |
City Of The Provider |
AUSTIN |
Zip Code Of The Provider |
787047087 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
10677 |
Number Of Medicare Beneficiaries |
678 |
Total Submitted Charge Amount |
1944465.95 |
Total Medicare Allowed Amount |
628153.38 |
Total Medicare Payment Amount |
482834.06 |
Total Medicare Standardized Payment Amount |
488769.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
8505 |
Number Of Medicare Beneficiaries With Drug Services |
160 |
Total Drug Submitted ChargeAmount |
23985 |
Total Drug Medicare AllowedAmount |
8874.95 |
Total Drug Medicare PaymentAmount |
6800.86 |
Total Drug Medicare Standardized Payment Amount |
6800.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
2172 |
Number Of Medicare Beneficiaries With Medical Services |
678 |
Total Medical Submitted Charge Amount |
1920480.95 |
Total Medical Medicare Allowed Amount |
619278.43 |
Total Medical Medicare Payment Amount |
476033.2 |
Total Medical Medicare Standardized Payment Amount |
481968.26 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
240 |
Number Of Beneficiaries Age 65 to 74 |
201 |
Number Of Beneficiaries Age 75 to 84 |
165 |
Number Of Beneficiaries Age Greater 84 |
72 |
Number Of Female Beneficiaries |
313 |
Number Of Male Beneficiaries |
365 |
Number Of Non Hispanic White Beneficiaries |
321 |
Number Of Black or African American Beneficiaries |
120 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
214 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
440 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
238 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
64 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
70 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
5.3262 |