National Provider Identifier [NPI]: |
1841378833 |
Last Name Of The Provider |
SOWERS |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3631 N. MORRISON ROAD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
MUNCIE |
Zip Code Of The Provider |
47304 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
177 |
Number Of Services |
19430 |
Number Of Medicare Beneficiaries |
1468 |
Total Submitted Charge Amount |
881410.1 |
Total Medicare Allowed Amount |
457754.76 |
Total Medicare Payment Amount |
352794.31 |
Total Medicare Standardized Payment Amount |
376027.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
10693 |
Number Of Medicare Beneficiaries With Drug Services |
404 |
Total Drug Submitted ChargeAmount |
50193.1 |
Total Drug Medicare AllowedAmount |
40588.41 |
Total Drug Medicare PaymentAmount |
38945.28 |
Total Drug Medicare Standardized Payment Amount |
38945.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
162 |
Number Of Medical Services |
8737 |
Number Of Medicare Beneficiaries With Medical Services |
1467 |
Total Medical Submitted Charge Amount |
831217 |
Total Medical Medicare Allowed Amount |
417166.35 |
Total Medical Medicare Payment Amount |
313849.03 |
Total Medical Medicare Standardized Payment Amount |
337082.34 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
183 |
Number Of Beneficiaries Age 65 to 74 |
644 |
Number Of Beneficiaries Age 75 to 84 |
474 |
Number Of Beneficiaries Age Greater 84 |
167 |
Number Of Female Beneficiaries |
896 |
Number Of Male Beneficiaries |
572 |
Number Of Non Hispanic White Beneficiaries |
1396 |
Number Of Black or African American Beneficiaries |
45 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
1247 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
221 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1014 |