National Provider Identifier [NPI]: |
1033175591 |
Last Name Of The Provider |
MCGOWAN |
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 |
12250 E ILIFF AVE |
Street Address 2 Of The Provider |
#300 |
City Of The Provider |
AURORA |
Zip Code Of The Provider |
800146318 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
2992 |
Number Of Medicare Beneficiaries |
922 |
Total Submitted Charge Amount |
497083 |
Total Medicare Allowed Amount |
257043.53 |
Total Medicare Payment Amount |
192670.93 |
Total Medicare Standardized Payment Amount |
192345 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
56 |
Number Of Medicare Beneficiaries With Drug Services |
55 |
Total Drug Submitted ChargeAmount |
4164 |
Total Drug Medicare AllowedAmount |
2013.95 |
Total Drug Medicare PaymentAmount |
1973.33 |
Total Drug Medicare Standardized Payment Amount |
1973.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
2936 |
Number Of Medicare Beneficiaries With Medical Services |
922 |
Total Medical Submitted Charge Amount |
492919 |
Total Medical Medicare Allowed Amount |
255029.58 |
Total Medical Medicare Payment Amount |
190697.6 |
Total Medical Medicare Standardized Payment Amount |
190371.67 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
119 |
Number Of Beneficiaries Age 65 to 74 |
274 |
Number Of Beneficiaries Age 75 to 84 |
232 |
Number Of Beneficiaries Age Greater 84 |
297 |
Number Of Female Beneficiaries |
477 |
Number Of Male Beneficiaries |
445 |
Number Of Non Hispanic White Beneficiaries |
797 |
Number Of Black or African American Beneficiaries |
35 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
62 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
671 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
251 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
35 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.9444 |