| National Provider Identifier [NPI]: | 1912996638 |
| Last Name Of The Provider | BOWEN |
| First Name Of The Provider | PENNY |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 9201 E MOUNTAIN VIEW RD |
| Street Address 2 Of The Provider | SUITE 137 |
| City Of The Provider | SCOTTSDALE |
| Zip Code Of The Provider | 852585199 |
| State Code Of The Provider | AZ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 214 |
| Number Of Services | 17803 |
| Number Of Medicare Beneficiaries | 2999 |
| Total Submitted Charge Amount | 1797023.86 |
| Total Medicare Allowed Amount | 475611.28 |
| Total Medicare Payment Amount | 359020.01 |
| Total Medicare Standardized Payment Amount | 367549.3 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 13550 |
| Number Of Medicare Beneficiaries With Drug Services | 191 |
| Total Drug Submitted ChargeAmount | 22405.86 |
| Total Drug Medicare AllowedAmount | 4485.84 |
| Total Drug Medicare PaymentAmount | 3516.68 |
| Total Drug Medicare Standardized Payment Amount | 3516.68 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 209 |
| Number Of Medical Services | 4253 |
| Number Of Medicare Beneficiaries With Medical Services | 2999 |
| Total Medical Submitted Charge Amount | 1774618 |
| Total Medical Medicare Allowed Amount | 471125.44 |
| Total Medical Medicare Payment Amount | 355503.33 |
| Total Medical Medicare Standardized Payment Amount | 364032.62 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 248 |
| Number Of Beneficiaries Age 65 to 74 | 1397 |
| Number Of Beneficiaries Age 75 to 84 | 952 |
| Number Of Beneficiaries Age Greater 84 | 402 |
| Number Of Female Beneficiaries | 1748 |
| Number Of Male Beneficiaries | 1251 |
| Number Of Non Hispanic White Beneficiaries | 2699 |
| Number Of Black or African American Beneficiaries | 59 |
| Number Of AsianPacific Islander Beneficiaries | 32 |
| Number Of Hispanic Beneficiaries | 136 |
| Number Of American Indian Alaska Native Beneficiaries | 34 |
| Number Of Beneficiaries With Race Not Else where Classified | 39 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2754 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 245 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 23 |
| Percent Of With Diabetes | 33 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 74 |
| Percent Of With Ischemic Heart Disease | 42 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 58 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.54 |