National Provider Identifier [NPI]: |
1811251010 |
Last Name Of The Provider |
BOWDEN |
First Name Of The Provider |
BRANDI |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
CRNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
805 E LEE ST STE C |
Street Address 2 Of The Provider |
|
City Of The Provider |
ENTERPRISE |
Zip Code Of The Provider |
363302477 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
1078 |
Number Of Medicare Beneficiaries |
263 |
Total Submitted Charge Amount |
73889 |
Total Medicare Allowed Amount |
24403.85 |
Total Medicare Payment Amount |
15319.9 |
Total Medicare Standardized Payment Amount |
21477.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
626 |
Number Of Medicare Beneficiaries With Drug Services |
90 |
Total Drug Submitted ChargeAmount |
1864 |
Total Drug Medicare AllowedAmount |
286.86 |
Total Drug Medicare PaymentAmount |
201.92 |
Total Drug Medicare Standardized Payment Amount |
201.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
452 |
Number Of Medicare Beneficiaries With Medical Services |
263 |
Total Medical Submitted Charge Amount |
72025 |
Total Medical Medicare Allowed Amount |
24116.99 |
Total Medical Medicare Payment Amount |
15117.98 |
Total Medical Medicare Standardized Payment Amount |
21275.4 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
70 |
Number Of Beneficiaries Age 65 to 74 |
115 |
Number Of Beneficiaries Age 75 to 84 |
65 |
Number Of Beneficiaries Age Greater 84 |
13 |
Number Of Female Beneficiaries |
176 |
Number Of Male Beneficiaries |
87 |
Number Of Non Hispanic White Beneficiaries |
212 |
Number Of Black or African American Beneficiaries |
39 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
212 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
51 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
8 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.874 |