National Provider Identifier [NPI]: |
1669405700 |
Last Name Of The Provider |
DOWLING |
First Name Of The Provider |
CLAREY |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2569 N WASHINGTON AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
BROWNSVILLE |
Zip Code Of The Provider |
380121610 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
107 |
Number Of Services |
11369 |
Number Of Medicare Beneficiaries |
707 |
Total Submitted Charge Amount |
531114 |
Total Medicare Allowed Amount |
359370.98 |
Total Medicare Payment Amount |
254455.66 |
Total Medicare Standardized Payment Amount |
274319.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
1527 |
Number Of Medicare Beneficiaries With Drug Services |
488 |
Total Drug Submitted ChargeAmount |
30201 |
Total Drug Medicare AllowedAmount |
10500.86 |
Total Drug Medicare PaymentAmount |
9493.7 |
Total Drug Medicare Standardized Payment Amount |
9493.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
9842 |
Number Of Medicare Beneficiaries With Medical Services |
707 |
Total Medical Submitted Charge Amount |
500913 |
Total Medical Medicare Allowed Amount |
348870.12 |
Total Medical Medicare Payment Amount |
244961.96 |
Total Medical Medicare Standardized Payment Amount |
264825.89 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
120 |
Number Of Beneficiaries Age 65 to 74 |
293 |
Number Of Beneficiaries Age 75 to 84 |
189 |
Number Of Beneficiaries Age Greater 84 |
105 |
Number Of Female Beneficiaries |
426 |
Number Of Male Beneficiaries |
281 |
Number Of Non Hispanic White Beneficiaries |
520 |
Number Of Black or African American Beneficiaries |
|
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 |
495 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
212 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2696 |