National Provider Identifier [NPI]: |
1659591626 |
Last Name Of The Provider |
JONES |
First Name Of The Provider |
ALAN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
OD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4851 WEST HILLSBORO BLVD |
Street Address 2 Of The Provider |
A-6 |
City Of The Provider |
COCONUT CREEK |
Zip Code Of The Provider |
33073 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Optometry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
17 |
Number Of Services |
7108 |
Number Of Medicare Beneficiaries |
1140 |
Total Submitted Charge Amount |
902603 |
Total Medicare Allowed Amount |
740984.17 |
Total Medicare Payment Amount |
579791.25 |
Total Medicare Standardized Payment Amount |
550498.7 |
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 |
17 |
Number Of Medical Services |
7108 |
Number Of Medicare Beneficiaries With Medical Services |
1140 |
Total Medical Submitted Charge Amount |
902603 |
Total Medical Medicare Allowed Amount |
740984.17 |
Total Medical Medicare Payment Amount |
579791.25 |
Total Medical Medicare Standardized Payment Amount |
550498.7 |
Average Age Of Beneficiaries |
84 |
Number Of Beneficiaries Age Less65 |
55 |
Number Of Beneficiaries Age 65 to 74 |
176 |
Number Of Beneficiaries Age 75 to 84 |
278 |
Number Of Beneficiaries Age Greater 84 |
631 |
Number Of Female Beneficiaries |
758 |
Number Of Male Beneficiaries |
382 |
Number Of Non Hispanic White Beneficiaries |
896 |
Number Of Black or African American Beneficiaries |
151 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
67 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
210 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
930 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
75 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
63 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
27 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
2.3899 |