National Provider Identifier [NPI]: |
1982657219 |
Last Name Of The Provider |
BOWLING |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
514 N BRIGHTLEAF BLVD |
Street Address 2 Of The Provider |
SUITE 1200 |
City Of The Provider |
SMITHFIELD |
Zip Code Of The Provider |
275774486 |
State Code Of The Provider |
NC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
3417 |
Number Of Medicare Beneficiaries |
625 |
Total Submitted Charge Amount |
280981.03 |
Total Medicare Allowed Amount |
192047.13 |
Total Medicare Payment Amount |
130963.6 |
Total Medicare Standardized Payment Amount |
138395.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
973 |
Number Of Medicare Beneficiaries With Drug Services |
236 |
Total Drug Submitted ChargeAmount |
7944 |
Total Drug Medicare AllowedAmount |
4453.35 |
Total Drug Medicare PaymentAmount |
4178.06 |
Total Drug Medicare Standardized Payment Amount |
4178.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
2444 |
Number Of Medicare Beneficiaries With Medical Services |
624 |
Total Medical Submitted Charge Amount |
273037.03 |
Total Medical Medicare Allowed Amount |
187593.78 |
Total Medical Medicare Payment Amount |
126785.54 |
Total Medical Medicare Standardized Payment Amount |
134217.29 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
188 |
Number Of Beneficiaries Age 65 to 74 |
237 |
Number Of Beneficiaries Age 75 to 84 |
151 |
Number Of Beneficiaries Age Greater 84 |
49 |
Number Of Female Beneficiaries |
364 |
Number Of Male Beneficiaries |
261 |
Number Of Non Hispanic White Beneficiaries |
475 |
Number Of Black or African American Beneficiaries |
122 |
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 |
392 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
233 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
2 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.309 |