National Provider Identifier [NPI]: |
1922207026 |
Last Name Of The Provider |
JONES |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4940 EASTERN AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
BALTIMORE |
Zip Code Of The Provider |
212242735 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
137 |
Number Of Services |
3683 |
Number Of Medicare Beneficiaries |
2237 |
Total Submitted Charge Amount |
859230.1 |
Total Medicare Allowed Amount |
178288.99 |
Total Medicare Payment Amount |
131920.04 |
Total Medicare Standardized Payment Amount |
126984.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
58 |
Number Of Medicare Beneficiaries With Drug Services |
58 |
Total Drug Submitted ChargeAmount |
7883.1 |
Total Drug Medicare AllowedAmount |
14.89 |
Total Drug Medicare PaymentAmount |
11.8 |
Total Drug Medicare Standardized Payment Amount |
11.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
134 |
Number Of Medical Services |
3625 |
Number Of Medicare Beneficiaries With Medical Services |
2237 |
Total Medical Submitted Charge Amount |
851347 |
Total Medical Medicare Allowed Amount |
178274.1 |
Total Medical Medicare Payment Amount |
131908.24 |
Total Medical Medicare Standardized Payment Amount |
126973.05 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
578 |
Number Of Beneficiaries Age 65 to 74 |
755 |
Number Of Beneficiaries Age 75 to 84 |
596 |
Number Of Beneficiaries Age Greater 84 |
308 |
Number Of Female Beneficiaries |
1195 |
Number Of Male Beneficiaries |
1042 |
Number Of Non Hispanic White Beneficiaries |
1706 |
Number Of Black or African American Beneficiaries |
432 |
Number Of AsianPacific Islander Beneficiaries |
39 |
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1578 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
659 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.0898 |