National Provider Identifier [NPI]: |
1942397864 |
Last Name Of The Provider |
COWEN |
First Name Of The Provider |
DAVID |
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 |
771 CORPORATE DR |
Street Address 2 Of The Provider |
SUITE #460 |
City Of The Provider |
LEXINGTON |
Zip Code Of The Provider |
405035405 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Plastic and Reconstructive Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
9578 |
Number Of Medicare Beneficiaries |
842 |
Total Submitted Charge Amount |
1551064 |
Total Medicare Allowed Amount |
523476.7 |
Total Medicare Payment Amount |
392438.43 |
Total Medicare Standardized Payment Amount |
383214.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
7485 |
Number Of Medicare Beneficiaries With Drug Services |
42 |
Total Drug Submitted ChargeAmount |
59880 |
Total Drug Medicare AllowedAmount |
35662.18 |
Total Drug Medicare PaymentAmount |
26635.62 |
Total Drug Medicare Standardized Payment Amount |
26635.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
2093 |
Number Of Medicare Beneficiaries With Medical Services |
842 |
Total Medical Submitted Charge Amount |
1491184 |
Total Medical Medicare Allowed Amount |
487814.52 |
Total Medical Medicare Payment Amount |
365802.81 |
Total Medical Medicare Standardized Payment Amount |
356579.02 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
99 |
Number Of Beneficiaries Age 65 to 74 |
404 |
Number Of Beneficiaries Age 75 to 84 |
251 |
Number Of Beneficiaries Age Greater 84 |
88 |
Number Of Female Beneficiaries |
510 |
Number Of Male Beneficiaries |
332 |
Number Of Non Hispanic White Beneficiaries |
820 |
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 |
691 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
151 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0804 |