National Provider Identifier [NPI]: |
1407808991 |
Last Name Of The Provider |
DOWLING |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6820 HOSPITAL DR |
Street Address 2 Of The Provider |
STE 210 |
City Of The Provider |
BALTIMORE |
Zip Code Of The Provider |
21237 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
100 |
Number Of Services |
7298 |
Number Of Medicare Beneficiaries |
1263 |
Total Submitted Charge Amount |
1008213 |
Total Medicare Allowed Amount |
495547.56 |
Total Medicare Payment Amount |
371891.88 |
Total Medicare Standardized Payment Amount |
358795.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
2156 |
Number Of Medicare Beneficiaries With Drug Services |
47 |
Total Drug Submitted ChargeAmount |
248393 |
Total Drug Medicare AllowedAmount |
132418.27 |
Total Drug Medicare PaymentAmount |
103741.1 |
Total Drug Medicare Standardized Payment Amount |
103741.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
92 |
Number Of Medical Services |
5142 |
Number Of Medicare Beneficiaries With Medical Services |
1263 |
Total Medical Submitted Charge Amount |
759820 |
Total Medical Medicare Allowed Amount |
363129.29 |
Total Medical Medicare Payment Amount |
268150.78 |
Total Medical Medicare Standardized Payment Amount |
255053.96 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
76 |
Number Of Beneficiaries Age 65 to 74 |
529 |
Number Of Beneficiaries Age 75 to 84 |
447 |
Number Of Beneficiaries Age Greater 84 |
211 |
Number Of Female Beneficiaries |
292 |
Number Of Male Beneficiaries |
971 |
Number Of Non Hispanic White Beneficiaries |
1155 |
Number Of Black or African American Beneficiaries |
71 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
1181 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
82 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
26 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.3123 |