National Provider Identifier [NPI]: |
1902891823 |
Last Name Of The Provider |
MCCOWEN |
First Name Of The Provider |
HERBERT |
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 |
7381 W 133RD ST |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
OVERLAND PARK |
Zip Code Of The Provider |
662134750 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
87 |
Number Of Services |
2896 |
Number Of Medicare Beneficiaries |
276 |
Total Submitted Charge Amount |
279830.1 |
Total Medicare Allowed Amount |
108514.07 |
Total Medicare Payment Amount |
80323.87 |
Total Medicare Standardized Payment Amount |
85044.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
1129 |
Number Of Medicare Beneficiaries With Drug Services |
98 |
Total Drug Submitted ChargeAmount |
54790 |
Total Drug Medicare AllowedAmount |
18440.87 |
Total Drug Medicare PaymentAmount |
14851.07 |
Total Drug Medicare Standardized Payment Amount |
14851.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
1767 |
Number Of Medicare Beneficiaries With Medical Services |
276 |
Total Medical Submitted Charge Amount |
225040.1 |
Total Medical Medicare Allowed Amount |
90073.2 |
Total Medical Medicare Payment Amount |
65472.8 |
Total Medical Medicare Standardized Payment Amount |
70192.98 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
25 |
Number Of Beneficiaries Age 65 to 74 |
138 |
Number Of Beneficiaries Age 75 to 84 |
82 |
Number Of Beneficiaries Age Greater 84 |
31 |
Number Of Female Beneficiaries |
142 |
Number Of Male Beneficiaries |
134 |
Number Of Non Hispanic White Beneficiaries |
259 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
248 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
28 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9794 |