National Provider Identifier [NPI]: |
1417985078 |
Last Name Of The Provider |
TOWE |
First Name Of The Provider |
KENNETH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1550 BARKLEY CIR |
Street Address 2 Of The Provider |
|
City Of The Provider |
FORT MYERS |
Zip Code Of The Provider |
339074539 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
88 |
Number Of Services |
11786 |
Number Of Medicare Beneficiaries |
3042 |
Total Submitted Charge Amount |
3136374.25 |
Total Medicare Allowed Amount |
946987.69 |
Total Medicare Payment Amount |
722706.46 |
Total Medicare Standardized Payment Amount |
704127.77 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
5237 |
Number Of Medicare Beneficiaries With Drug Services |
274 |
Total Drug Submitted ChargeAmount |
125646.25 |
Total Drug Medicare AllowedAmount |
49200.49 |
Total Drug Medicare PaymentAmount |
37809.32 |
Total Drug Medicare Standardized Payment Amount |
37809.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
85 |
Number Of Medical Services |
6549 |
Number Of Medicare Beneficiaries With Medical Services |
3042 |
Total Medical Submitted Charge Amount |
3010728 |
Total Medical Medicare Allowed Amount |
897787.2 |
Total Medical Medicare Payment Amount |
684897.14 |
Total Medical Medicare Standardized Payment Amount |
666318.45 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
178 |
Number Of Beneficiaries Age 65 to 74 |
1098 |
Number Of Beneficiaries Age 75 to 84 |
1195 |
Number Of Beneficiaries Age Greater 84 |
571 |
Number Of Female Beneficiaries |
1317 |
Number Of Male Beneficiaries |
1725 |
Number Of Non Hispanic White Beneficiaries |
2778 |
Number Of Black or African American Beneficiaries |
74 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
136 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
29 |
Number Of Beneficiaries With Medicare Only Entitlement |
2765 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
277 |
Percent Of With Atrial Fibrillation |
42 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
74 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.6566 |