National Provider Identifier [NPI]: |
1760423370 |
Last Name Of The Provider |
BOWMAN |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
500 CAMPUS DRIVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
HANCOCK |
Zip Code Of The Provider |
499301569 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
15598 |
Number Of Medicare Beneficiaries |
448 |
Total Submitted Charge Amount |
2130378.96 |
Total Medicare Allowed Amount |
1262532.39 |
Total Medicare Payment Amount |
985842.03 |
Total Medicare Standardized Payment Amount |
865701.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
8989 |
Number Of Medicare Beneficiaries With Drug Services |
371 |
Total Drug Submitted ChargeAmount |
550869 |
Total Drug Medicare AllowedAmount |
361045.16 |
Total Drug Medicare PaymentAmount |
282943.04 |
Total Drug Medicare Standardized Payment Amount |
282943.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
6609 |
Number Of Medicare Beneficiaries With Medical Services |
447 |
Total Medical Submitted Charge Amount |
1579509.96 |
Total Medical Medicare Allowed Amount |
901487.23 |
Total Medical Medicare Payment Amount |
702898.99 |
Total Medical Medicare Standardized Payment Amount |
582758.18 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
45 |
Number Of Beneficiaries Age 65 to 74 |
229 |
Number Of Beneficiaries Age 75 to 84 |
121 |
Number Of Beneficiaries Age Greater 84 |
53 |
Number Of Female Beneficiaries |
243 |
Number Of Male Beneficiaries |
205 |
Number Of Non Hispanic White Beneficiaries |
202 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
41 |
Number Of Hispanic Beneficiaries |
161 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
258 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
190 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.091 |