National Provider Identifier [NPI]: |
1558372169 |
Last Name Of The Provider |
BOWLES |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2015 WATERSIDE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
PRINCE GEORGE |
Zip Code Of The Provider |
238751265 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
5612 |
Number Of Medicare Beneficiaries |
1962 |
Total Submitted Charge Amount |
1486475 |
Total Medicare Allowed Amount |
657319.55 |
Total Medicare Payment Amount |
467547.04 |
Total Medicare Standardized Payment Amount |
482093.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
5612 |
Number Of Medicare Beneficiaries With Medical Services |
1962 |
Total Medical Submitted Charge Amount |
1486475 |
Total Medical Medicare Allowed Amount |
657319.55 |
Total Medical Medicare Payment Amount |
467547.04 |
Total Medical Medicare Standardized Payment Amount |
482093.05 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
103 |
Number Of Beneficiaries Age 65 to 74 |
800 |
Number Of Beneficiaries Age 75 to 84 |
741 |
Number Of Beneficiaries Age Greater 84 |
318 |
Number Of Female Beneficiaries |
1244 |
Number Of Male Beneficiaries |
718 |
Number Of Non Hispanic White Beneficiaries |
1382 |
Number Of Black or African American Beneficiaries |
525 |
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 |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
1800 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
162 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0981 |