National Provider Identifier [NPI]: |
1063473965 |
Last Name Of The Provider |
BOWLES |
First Name Of The Provider |
ROGER |
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 |
6169 S BALSAM WAY |
Street Address 2 Of The Provider |
SUITE 190 |
City Of The Provider |
LITTLETON |
Zip Code Of The Provider |
801233062 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
2299 |
Number Of Medicare Beneficiaries |
545 |
Total Submitted Charge Amount |
194206.34 |
Total Medicare Allowed Amount |
125147.99 |
Total Medicare Payment Amount |
100906.42 |
Total Medicare Standardized Payment Amount |
100710.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
276 |
Number Of Medicare Beneficiaries With Drug Services |
102 |
Total Drug Submitted ChargeAmount |
8887.04 |
Total Drug Medicare AllowedAmount |
3936.57 |
Total Drug Medicare PaymentAmount |
3589.3 |
Total Drug Medicare Standardized Payment Amount |
3589.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
2023 |
Number Of Medicare Beneficiaries With Medical Services |
545 |
Total Medical Submitted Charge Amount |
185319.3 |
Total Medical Medicare Allowed Amount |
121211.42 |
Total Medical Medicare Payment Amount |
97317.12 |
Total Medical Medicare Standardized Payment Amount |
97120.9 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
33 |
Number Of Beneficiaries Age 65 to 74 |
226 |
Number Of Beneficiaries Age 75 to 84 |
200 |
Number Of Beneficiaries Age Greater 84 |
86 |
Number Of Female Beneficiaries |
291 |
Number Of Male Beneficiaries |
254 |
Number Of Non Hispanic White Beneficiaries |
512 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
506 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
39 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.2176 |