National Provider Identifier [NPI]: |
1629056395 |
Last Name Of The Provider |
JONES |
First Name Of The Provider |
CHERYL |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
308 COLISEUM DR |
Street Address 2 Of The Provider |
SUITE 120 |
City Of The Provider |
MACON |
Zip Code Of The Provider |
312173808 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
132 |
Number Of Services |
106701 |
Number Of Medicare Beneficiaries |
784 |
Total Submitted Charge Amount |
4056933 |
Total Medicare Allowed Amount |
1323037.59 |
Total Medicare Payment Amount |
1022944.85 |
Total Medicare Standardized Payment Amount |
1035515.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
72 |
Number Of Drug Services |
96360 |
Number Of Medicare Beneficiaries With Drug Services |
261 |
Total Drug Submitted ChargeAmount |
3230892 |
Total Drug Medicare AllowedAmount |
1110343.6 |
Total Drug Medicare PaymentAmount |
861630.71 |
Total Drug Medicare Standardized Payment Amount |
861630.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
10341 |
Number Of Medicare Beneficiaries With Medical Services |
783 |
Total Medical Submitted Charge Amount |
826041 |
Total Medical Medicare Allowed Amount |
212693.99 |
Total Medical Medicare Payment Amount |
161314.14 |
Total Medical Medicare Standardized Payment Amount |
173884.81 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
76 |
Number Of Beneficiaries Age 65 to 74 |
379 |
Number Of Beneficiaries Age 75 to 84 |
258 |
Number Of Beneficiaries Age Greater 84 |
71 |
Number Of Female Beneficiaries |
574 |
Number Of Male Beneficiaries |
210 |
Number Of Non Hispanic White Beneficiaries |
599 |
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 |
699 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
85 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
63 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.5569 |