National Provider Identifier [NPI]: |
1467440263 |
Last Name Of The Provider |
POWERS |
First Name Of The Provider |
JASON |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3 LIONS DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
NORTH LIBERTY |
Zip Code Of The Provider |
523179575 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
1538 |
Number Of Medicare Beneficiaries |
320 |
Total Submitted Charge Amount |
123308 |
Total Medicare Allowed Amount |
62224.4 |
Total Medicare Payment Amount |
46401.12 |
Total Medicare Standardized Payment Amount |
52239.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
169 |
Number Of Medicare Beneficiaries With Drug Services |
109 |
Total Drug Submitted ChargeAmount |
10443 |
Total Drug Medicare AllowedAmount |
7566.27 |
Total Drug Medicare PaymentAmount |
7271.57 |
Total Drug Medicare Standardized Payment Amount |
7271.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
1369 |
Number Of Medicare Beneficiaries With Medical Services |
320 |
Total Medical Submitted Charge Amount |
112865 |
Total Medical Medicare Allowed Amount |
54658.13 |
Total Medical Medicare Payment Amount |
39129.55 |
Total Medical Medicare Standardized Payment Amount |
44968.04 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
76 |
Number Of Beneficiaries Age 65 to 74 |
149 |
Number Of Beneficiaries Age 75 to 84 |
75 |
Number Of Beneficiaries Age Greater 84 |
20 |
Number Of Female Beneficiaries |
154 |
Number Of Male Beneficiaries |
166 |
Number Of Non Hispanic White Beneficiaries |
299 |
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 |
253 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
67 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
6 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
24 |
Percent Of With Hypertension |
42 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
16 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8805 |