National Provider Identifier [NPI]: |
1841277431 |
Last Name Of The Provider |
DOWLEN |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
605 GLENWOOD DR |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
CHATTANOOGA |
Zip Code Of The Provider |
374041108 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
91 |
Number Of Services |
11926 |
Number Of Medicare Beneficiaries |
670 |
Total Submitted Charge Amount |
876923 |
Total Medicare Allowed Amount |
379896.35 |
Total Medicare Payment Amount |
311367.1 |
Total Medicare Standardized Payment Amount |
328757 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
2517 |
Number Of Medicare Beneficiaries With Drug Services |
438 |
Total Drug Submitted ChargeAmount |
120214 |
Total Drug Medicare AllowedAmount |
57922.01 |
Total Drug Medicare PaymentAmount |
50025.98 |
Total Drug Medicare Standardized Payment Amount |
50025.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
82 |
Number Of Medical Services |
9409 |
Number Of Medicare Beneficiaries With Medical Services |
670 |
Total Medical Submitted Charge Amount |
756709 |
Total Medical Medicare Allowed Amount |
321974.34 |
Total Medical Medicare Payment Amount |
261341.12 |
Total Medical Medicare Standardized Payment Amount |
278731.02 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
13 |
Number Of Beneficiaries Age 65 to 74 |
303 |
Number Of Beneficiaries Age 75 to 84 |
219 |
Number Of Beneficiaries Age Greater 84 |
135 |
Number Of Female Beneficiaries |
377 |
Number Of Male Beneficiaries |
293 |
Number Of Non Hispanic White Beneficiaries |
630 |
Number Of Black or African American Beneficiaries |
|
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 |
649 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
21 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
9 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
37 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9479 |