| National Provider Identifier [NPI]: | 1578744595 |
| Last Name Of The Provider | OWENS |
| First Name Of The Provider | JOHN |
| Middle Initial Of The Provider | W |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 619 19TH ST S |
| Street Address 2 Of The Provider | WP 150 |
| City Of The Provider | BIRMINGHAM |
| Zip Code Of The Provider | 352496830 |
| State Code Of The Provider | AL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Vascular Surgery |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 200 |
| Number Of Services | 11072 |
| Number Of Medicare Beneficiaries | 5517 |
| Total Submitted Charge Amount | 818175 |
| Total Medicare Allowed Amount | 253632.26 |
| Total Medicare Payment Amount | 195283.29 |
| Total Medicare Standardized Payment Amount | 207626.34 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 200 |
| Number Of Medical Services | 11072 |
| Number Of Medicare Beneficiaries With Medical Services | 5517 |
| Total Medical Submitted Charge Amount | 818175 |
| Total Medical Medicare Allowed Amount | 253632.26 |
| Total Medical Medicare Payment Amount | 195283.29 |
| Total Medical Medicare Standardized Payment Amount | 207626.34 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 991 |
| Number Of Beneficiaries Age 65 to 74 | 2215 |
| Number Of Beneficiaries Age 75 to 84 | 1650 |
| Number Of Beneficiaries Age Greater 84 | 661 |
| Number Of Female Beneficiaries | 3715 |
| Number Of Male Beneficiaries | 1802 |
| Number Of Non Hispanic White Beneficiaries | 4845 |
| Number Of Black or African American Beneficiaries | 620 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 27 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 4264 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1253 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 24 |
| Percent Of With Chronic Kidney Disease | 27 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 38 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.3754 |