National Provider Identifier [NPI]: |
1578551909 |
Last Name Of The Provider |
DOWLING |
First Name Of The Provider |
KEITH |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
423 N 21ST ST |
Street Address 2 Of The Provider |
STE 300 |
City Of The Provider |
CAMP HILL |
Zip Code Of The Provider |
170112207 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
4222 |
Number Of Medicare Beneficiaries |
914 |
Total Submitted Charge Amount |
645017 |
Total Medicare Allowed Amount |
238721.41 |
Total Medicare Payment Amount |
176638.54 |
Total Medicare Standardized Payment Amount |
183655.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
934 |
Number Of Medicare Beneficiaries With Drug Services |
55 |
Total Drug Submitted ChargeAmount |
213525 |
Total Drug Medicare AllowedAmount |
61522.27 |
Total Drug Medicare PaymentAmount |
47525.51 |
Total Drug Medicare Standardized Payment Amount |
47525.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
3288 |
Number Of Medicare Beneficiaries With Medical Services |
914 |
Total Medical Submitted Charge Amount |
431492 |
Total Medical Medicare Allowed Amount |
177199.14 |
Total Medical Medicare Payment Amount |
129113.03 |
Total Medical Medicare Standardized Payment Amount |
136130.27 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
56 |
Number Of Beneficiaries Age 65 to 74 |
344 |
Number Of Beneficiaries Age 75 to 84 |
341 |
Number Of Beneficiaries Age Greater 84 |
173 |
Number Of Female Beneficiaries |
176 |
Number Of Male Beneficiaries |
738 |
Number Of Non Hispanic White Beneficiaries |
855 |
Number Of Black or African American Beneficiaries |
31 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
849 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
65 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
25 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2279 |