Medicare Facts for Dr. James M. Bowles, MD


National Provider Identifier [NPI]: 1316043516
Last Name Of The Provider BOWLES
First Name Of The Provider JAMES
Middle Initial Of The Provider M
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 200 CLINIC DR
Street Address 2 Of The Provider
City Of The Provider MADISONVILLE
Zip Code Of The Provider 424311661
State Code Of The Provider KY
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 37
Number Of Services 398
Number Of Medicare Beneficiaries 167
Total Submitted Charge Amount 26274
Total Medicare Allowed Amount 15010.18
Total Medicare Payment Amount 10167.75
Total Medicare Standardized Payment Amount 11227.09
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 6
Number Of Drug Services 131
Number Of Medicare Beneficiaries With Drug Services 20
Total Drug Submitted ChargeAmount 565
Total Drug Medicare AllowedAmount 303.44
Total Drug Medicare PaymentAmount 213.74
Total Drug Medicare Standardized Payment Amount 213.74
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 31
Number Of Medical Services 267
Number Of Medicare Beneficiaries With Medical Services 167
Total Medical Submitted Charge Amount 25709
Total Medical Medicare Allowed Amount 14706.74
Total Medical Medicare Payment Amount 9954.01
Total Medical Medicare Standardized Payment Amount 11013.35
Average Age Of Beneficiaries 65
Number Of Beneficiaries Age Less65 62
Number Of Beneficiaries Age 65 to 74 69
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 106
Number Of Male Beneficiaries 61
Number Of Non Hispanic White Beneficiaries 148
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 115
Number Of Beneficiaries With Medicare Medicaid Entitlement 52
Percent Of With Atrial Fibrillation 7
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 7
Percent Of With Cancer
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 16
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 31
Percent Of With Diabetes 25
Percent Of With Hyperlipidemia 41
Percent Of With Hypertension 60
Percent Of With Ischemic Heart Disease 27
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 43
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9812

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