National Provider Identifier [NPI]: |
1801886957 |
Last Name Of The Provider |
MCDOWELL |
First Name Of The Provider |
RHONDA |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M. D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1106 DRUID RD S |
Street Address 2 Of The Provider |
SUITE 302 |
City Of The Provider |
CLEARWATER |
Zip Code Of The Provider |
337563846 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
204 |
Number Of Services |
19875 |
Number Of Medicare Beneficiaries |
3972 |
Total Submitted Charge Amount |
1265330.8 |
Total Medicare Allowed Amount |
332078.24 |
Total Medicare Payment Amount |
267041.24 |
Total Medicare Standardized Payment Amount |
272007.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
13760 |
Number Of Medicare Beneficiaries With Drug Services |
149 |
Total Drug Submitted ChargeAmount |
37018.8 |
Total Drug Medicare AllowedAmount |
2945.59 |
Total Drug Medicare PaymentAmount |
2263.06 |
Total Drug Medicare Standardized Payment Amount |
2263.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
202 |
Number Of Medical Services |
6115 |
Number Of Medicare Beneficiaries With Medical Services |
3970 |
Total Medical Submitted Charge Amount |
1228312 |
Total Medical Medicare Allowed Amount |
329132.65 |
Total Medical Medicare Payment Amount |
264778.18 |
Total Medical Medicare Standardized Payment Amount |
269744.51 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
490 |
Number Of Beneficiaries Age 65 to 74 |
1334 |
Number Of Beneficiaries Age 75 to 84 |
1269 |
Number Of Beneficiaries Age Greater 84 |
879 |
Number Of Female Beneficiaries |
2738 |
Number Of Male Beneficiaries |
1234 |
Number Of Non Hispanic White Beneficiaries |
3651 |
Number Of Black or African American Beneficiaries |
121 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
125 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
39 |
Number Of Beneficiaries With Medicare Only Entitlement |
3191 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
781 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.7625 |