National Provider Identifier [NPI]: |
1447227707 |
Last Name Of The Provider |
DOWD |
First Name Of The Provider |
SABRINA |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
699 RURAL AVE |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
WILLIAMSPORT |
Zip Code Of The Provider |
177013246 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
6274 |
Number Of Medicare Beneficiaries |
1330 |
Total Submitted Charge Amount |
796604 |
Total Medicare Allowed Amount |
330237.36 |
Total Medicare Payment Amount |
232299.64 |
Total Medicare Standardized Payment Amount |
242863.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
1324 |
Number Of Medicare Beneficiaries With Drug Services |
94 |
Total Drug Submitted ChargeAmount |
10052 |
Total Drug Medicare AllowedAmount |
2363.31 |
Total Drug Medicare PaymentAmount |
1586.91 |
Total Drug Medicare Standardized Payment Amount |
1586.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
4950 |
Number Of Medicare Beneficiaries With Medical Services |
1330 |
Total Medical Submitted Charge Amount |
786552 |
Total Medical Medicare Allowed Amount |
327874.05 |
Total Medical Medicare Payment Amount |
230712.73 |
Total Medical Medicare Standardized Payment Amount |
241276.83 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
136 |
Number Of Beneficiaries Age 65 to 74 |
572 |
Number Of Beneficiaries Age 75 to 84 |
435 |
Number Of Beneficiaries Age Greater 84 |
187 |
Number Of Female Beneficiaries |
734 |
Number Of Male Beneficiaries |
596 |
Number Of Non Hispanic White Beneficiaries |
1290 |
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 |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
1160 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
170 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9823 |