National Provider Identifier [NPI]: |
1275763047 |
Last Name Of The Provider |
BOWMAN |
First Name Of The Provider |
REBECCA |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
APRN |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3911 AVENUE B |
Street Address 2 Of The Provider |
SUITE 1100 |
City Of The Provider |
SCOTTSBLUFF |
Zip Code Of The Provider |
693614617 |
State Code Of The Provider |
NE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
122 |
Number Of Services |
9874 |
Number Of Medicare Beneficiaries |
334 |
Total Submitted Charge Amount |
423447.88 |
Total Medicare Allowed Amount |
223069.47 |
Total Medicare Payment Amount |
165776.84 |
Total Medicare Standardized Payment Amount |
180487.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
32 |
Number Of Drug Services |
7025 |
Number Of Medicare Beneficiaries With Drug Services |
51 |
Total Drug Submitted ChargeAmount |
226997.88 |
Total Drug Medicare AllowedAmount |
138165.11 |
Total Drug Medicare PaymentAmount |
105783.15 |
Total Drug Medicare Standardized Payment Amount |
105783.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
90 |
Number Of Medical Services |
2849 |
Number Of Medicare Beneficiaries With Medical Services |
334 |
Total Medical Submitted Charge Amount |
196450 |
Total Medical Medicare Allowed Amount |
84904.36 |
Total Medical Medicare Payment Amount |
59993.69 |
Total Medical Medicare Standardized Payment Amount |
74704.37 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
50 |
Number Of Beneficiaries Age 65 to 74 |
109 |
Number Of Beneficiaries Age 75 to 84 |
111 |
Number Of Beneficiaries Age Greater 84 |
64 |
Number Of Female Beneficiaries |
247 |
Number Of Male Beneficiaries |
87 |
Number Of Non Hispanic White Beneficiaries |
314 |
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 |
270 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
64 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
36 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3866 |