National Provider Identifier [NPI]: |
1245276070 |
Last Name Of The Provider |
BOWLING |
First Name Of The Provider |
DARIN |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
342 COX BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SHEFFIELD |
Zip Code Of The Provider |
356604020 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
185 |
Number Of Services |
14947 |
Number Of Medicare Beneficiaries |
535 |
Total Submitted Charge Amount |
735609.7 |
Total Medicare Allowed Amount |
410624.85 |
Total Medicare Payment Amount |
315477.36 |
Total Medicare Standardized Payment Amount |
341449.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
3510 |
Number Of Medicare Beneficiaries With Drug Services |
301 |
Total Drug Submitted ChargeAmount |
55367 |
Total Drug Medicare AllowedAmount |
14152.11 |
Total Drug Medicare PaymentAmount |
11148.11 |
Total Drug Medicare Standardized Payment Amount |
11148.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
171 |
Number Of Medical Services |
11437 |
Number Of Medicare Beneficiaries With Medical Services |
535 |
Total Medical Submitted Charge Amount |
680242.7 |
Total Medical Medicare Allowed Amount |
396472.74 |
Total Medical Medicare Payment Amount |
304329.25 |
Total Medical Medicare Standardized Payment Amount |
330301.53 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
111 |
Number Of Beneficiaries Age 65 to 74 |
254 |
Number Of Beneficiaries Age 75 to 84 |
120 |
Number Of Beneficiaries Age Greater 84 |
50 |
Number Of Female Beneficiaries |
302 |
Number Of Male Beneficiaries |
233 |
Number Of Non Hispanic White Beneficiaries |
470 |
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 |
419 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
116 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0541 |