National Provider Identifier [NPI]: |
1780678342 |
Last Name Of The Provider |
ROWE |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
979 E 3RD ST |
Street Address 2 Of The Provider |
STE 300 |
City Of The Provider |
CHATTANOOGA |
Zip Code Of The Provider |
374032136 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
18194 |
Number Of Medicare Beneficiaries |
994 |
Total Submitted Charge Amount |
983337 |
Total Medicare Allowed Amount |
697677.78 |
Total Medicare Payment Amount |
584731.78 |
Total Medicare Standardized Payment Amount |
550021.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
508 |
Number Of Medicare Beneficiaries With Drug Services |
115 |
Total Drug Submitted ChargeAmount |
7298 |
Total Drug Medicare AllowedAmount |
1250.16 |
Total Drug Medicare PaymentAmount |
953.73 |
Total Drug Medicare Standardized Payment Amount |
953.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
17686 |
Number Of Medicare Beneficiaries With Medical Services |
994 |
Total Medical Submitted Charge Amount |
976039 |
Total Medical Medicare Allowed Amount |
696427.62 |
Total Medical Medicare Payment Amount |
583778.05 |
Total Medical Medicare Standardized Payment Amount |
549067.9 |
Average Age Of Beneficiaries |
62 |
Number Of Beneficiaries Age Less65 |
529 |
Number Of Beneficiaries Age 65 to 74 |
312 |
Number Of Beneficiaries Age 75 to 84 |
123 |
Number Of Beneficiaries Age Greater 84 |
30 |
Number Of Female Beneficiaries |
647 |
Number Of Male Beneficiaries |
347 |
Number Of Non Hispanic White Beneficiaries |
882 |
Number Of Black or African American Beneficiaries |
101 |
Number Of AsianPacific Islander Beneficiaries |
|
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 |
570 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
424 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
71 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.5691 |