| National Provider Identifier [NPI]: | 1790836914 |
| Last Name Of The Provider | BOWEN |
| First Name Of The Provider | DAVID |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1717 N E ST |
| Street Address 2 Of The Provider | SUITE 423 |
| City Of The Provider | PENSACOLA |
| Zip Code Of The Provider | 325016339 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 237 |
| Number Of Services | 18677 |
| Number Of Medicare Beneficiaries | 7568 |
| Total Submitted Charge Amount | 1236026.9 |
| Total Medicare Allowed Amount | 465241.97 |
| Total Medicare Payment Amount | 350694.47 |
| Total Medicare Standardized Payment Amount | 357740.54 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 5580 |
| Number Of Medicare Beneficiaries With Drug Services | 74 |
| Total Drug Submitted ChargeAmount | 6720 |
| Total Drug Medicare AllowedAmount | 1761.21 |
| Total Drug Medicare PaymentAmount | 1324.71 |
| Total Drug Medicare Standardized Payment Amount | 1324.71 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 235 |
| Number Of Medical Services | 13097 |
| Number Of Medicare Beneficiaries With Medical Services | 7567 |
| Total Medical Submitted Charge Amount | 1229306.9 |
| Total Medical Medicare Allowed Amount | 463480.76 |
| Total Medical Medicare Payment Amount | 349369.76 |
| Total Medical Medicare Standardized Payment Amount | 356415.83 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 1335 |
| Number Of Beneficiaries Age 65 to 74 | 2861 |
| Number Of Beneficiaries Age 75 to 84 | 2296 |
| Number Of Beneficiaries Age Greater 84 | 1076 |
| Number Of Female Beneficiaries | 4678 |
| Number Of Male Beneficiaries | 2890 |
| Number Of Non Hispanic White Beneficiaries | 6427 |
| Number Of Black or African American Beneficiaries | 846 |
| Number Of AsianPacific Islander Beneficiaries | 75 |
| Number Of Hispanic Beneficiaries | 109 |
| Number Of American Indian Alaska Native Beneficiaries | 46 |
| Number Of Beneficiaries With Race Not Else where Classified | 65 |
| Number Of Beneficiaries With Medicare Only Entitlement | 6000 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1568 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 45 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 60 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.5198 |