National Provider Identifier [NPI]: |
1942481437 |
Last Name Of The Provider |
VOWELL |
First Name Of The Provider |
CHRISTY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1301 VETERANS MEMORIAL BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
EUPORA |
Zip Code Of The Provider |
397442064 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
135 |
Number Of Services |
7287 |
Number Of Medicare Beneficiaries |
645 |
Total Submitted Charge Amount |
289289 |
Total Medicare Allowed Amount |
187419.35 |
Total Medicare Payment Amount |
137293.63 |
Total Medicare Standardized Payment Amount |
149976.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
18 |
Number Of Drug Services |
2696 |
Number Of Medicare Beneficiaries With Drug Services |
317 |
Total Drug Submitted ChargeAmount |
12894 |
Total Drug Medicare AllowedAmount |
4358.47 |
Total Drug Medicare PaymentAmount |
3627.31 |
Total Drug Medicare Standardized Payment Amount |
3627.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
117 |
Number Of Medical Services |
4591 |
Number Of Medicare Beneficiaries With Medical Services |
644 |
Total Medical Submitted Charge Amount |
276395 |
Total Medical Medicare Allowed Amount |
183060.88 |
Total Medical Medicare Payment Amount |
133666.32 |
Total Medical Medicare Standardized Payment Amount |
146348.75 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
201 |
Number Of Beneficiaries Age 65 to 74 |
230 |
Number Of Beneficiaries Age 75 to 84 |
155 |
Number Of Beneficiaries Age Greater 84 |
59 |
Number Of Female Beneficiaries |
397 |
Number Of Male Beneficiaries |
248 |
Number Of Non Hispanic White Beneficiaries |
477 |
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 |
345 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
300 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
32 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.1484 |