National Provider Identifier [NPI]: |
1548439516 |
Last Name Of The Provider |
JONES |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
PA |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
444 FOUR STATES DR |
Street Address 2 Of The Provider |
STE 1 |
City Of The Provider |
GALENA |
Zip Code Of The Provider |
667394324 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
79 |
Number Of Services |
1646 |
Number Of Medicare Beneficiaries |
386 |
Total Submitted Charge Amount |
578889 |
Total Medicare Allowed Amount |
103982.18 |
Total Medicare Payment Amount |
79384.14 |
Total Medicare Standardized Payment Amount |
83988.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
157 |
Number Of Medicare Beneficiaries With Drug Services |
34 |
Total Drug Submitted ChargeAmount |
3140 |
Total Drug Medicare AllowedAmount |
892.87 |
Total Drug Medicare PaymentAmount |
688.34 |
Total Drug Medicare Standardized Payment Amount |
688.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
78 |
Number Of Medical Services |
1489 |
Number Of Medicare Beneficiaries With Medical Services |
386 |
Total Medical Submitted Charge Amount |
575749 |
Total Medical Medicare Allowed Amount |
103089.31 |
Total Medical Medicare Payment Amount |
78695.8 |
Total Medical Medicare Standardized Payment Amount |
83300.3 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
87 |
Number Of Beneficiaries Age 65 to 74 |
156 |
Number Of Beneficiaries Age 75 to 84 |
100 |
Number Of Beneficiaries Age Greater 84 |
43 |
Number Of Female Beneficiaries |
238 |
Number Of Male Beneficiaries |
148 |
Number Of Non Hispanic White Beneficiaries |
374 |
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 |
302 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
84 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.2143 |