National Provider Identifier [NPI]: |
1598075558 |
Last Name Of The Provider |
JONES |
First Name Of The Provider |
DORINDA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
|
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4100 AUSTIN PEAY HWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
MEMPHIS |
Zip Code Of The Provider |
381282502 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
8 |
Number Of Services |
2490 |
Number Of Medicare Beneficiaries |
941 |
Total Submitted Charge Amount |
331342 |
Total Medicare Allowed Amount |
119632.94 |
Total Medicare Payment Amount |
92046.19 |
Total Medicare Standardized Payment Amount |
115880.53 |
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 |
8 |
Number Of Medical Services |
2490 |
Number Of Medicare Beneficiaries With Medical Services |
941 |
Total Medical Submitted Charge Amount |
331342 |
Total Medical Medicare Allowed Amount |
119632.94 |
Total Medical Medicare Payment Amount |
92046.19 |
Total Medical Medicare Standardized Payment Amount |
115880.53 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
160 |
Number Of Beneficiaries Age 65 to 74 |
287 |
Number Of Beneficiaries Age 75 to 84 |
299 |
Number Of Beneficiaries Age Greater 84 |
195 |
Number Of Female Beneficiaries |
586 |
Number Of Male Beneficiaries |
355 |
Number Of Non Hispanic White Beneficiaries |
639 |
Number Of Black or African American Beneficiaries |
288 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
683 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
258 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
53 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
21 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
68 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
24 |
Average HCC Risk Score Of Beneficiaries |
2.2047 |