National Provider Identifier [NPI]: |
1629049242 |
Last Name Of The Provider |
MCDOWELL |
First Name Of The Provider |
JOSEPH |
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 |
1600 LAKELAND HILLS BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAKELAND |
Zip Code Of The Provider |
33805 |
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 |
199 |
Number Of Services |
8634 |
Number Of Medicare Beneficiaries |
3939 |
Total Submitted Charge Amount |
1592869.89 |
Total Medicare Allowed Amount |
603797.03 |
Total Medicare Payment Amount |
478331.89 |
Total Medicare Standardized Payment Amount |
493822.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
2500 |
Number Of Medicare Beneficiaries With Drug Services |
38 |
Total Drug Submitted ChargeAmount |
5088 |
Total Drug Medicare AllowedAmount |
1085.84 |
Total Drug Medicare PaymentAmount |
835.78 |
Total Drug Medicare Standardized Payment Amount |
835.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
196 |
Number Of Medical Services |
6134 |
Number Of Medicare Beneficiaries With Medical Services |
3939 |
Total Medical Submitted Charge Amount |
1587781.89 |
Total Medical Medicare Allowed Amount |
602711.19 |
Total Medical Medicare Payment Amount |
477496.11 |
Total Medical Medicare Standardized Payment Amount |
492986.86 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
425 |
Number Of Beneficiaries Age 65 to 74 |
1443 |
Number Of Beneficiaries Age 75 to 84 |
1399 |
Number Of Beneficiaries Age Greater 84 |
672 |
Number Of Female Beneficiaries |
2573 |
Number Of Male Beneficiaries |
1366 |
Number Of Non Hispanic White Beneficiaries |
3534 |
Number Of Black or African American Beneficiaries |
230 |
Number Of AsianPacific Islander Beneficiaries |
21 |
Number Of Hispanic Beneficiaries |
127 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
27 |
Number Of Beneficiaries With Medicare Only Entitlement |
3307 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
632 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5329 |