National Provider Identifier [NPI]: |
1144296377 |
Last Name Of The Provider |
JONES |
First Name Of The Provider |
CRAIG |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
25 W CRYSTAL LAKE ST |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
ORLANDO |
Zip Code Of The Provider |
328064475 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
101 |
Number Of Services |
2147 |
Number Of Medicare Beneficiaries |
295 |
Total Submitted Charge Amount |
389238.81 |
Total Medicare Allowed Amount |
156908.47 |
Total Medicare Payment Amount |
118690.83 |
Total Medicare Standardized Payment Amount |
119926.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
603 |
Number Of Medicare Beneficiaries With Drug Services |
78 |
Total Drug Submitted ChargeAmount |
26829.4 |
Total Drug Medicare AllowedAmount |
12022.69 |
Total Drug Medicare PaymentAmount |
9425.97 |
Total Drug Medicare Standardized Payment Amount |
9425.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
98 |
Number Of Medical Services |
1544 |
Number Of Medicare Beneficiaries With Medical Services |
295 |
Total Medical Submitted Charge Amount |
362409.41 |
Total Medical Medicare Allowed Amount |
144885.78 |
Total Medical Medicare Payment Amount |
109264.86 |
Total Medical Medicare Standardized Payment Amount |
110500.88 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
116 |
Number Of Beneficiaries Age 75 to 84 |
100 |
Number Of Beneficiaries Age Greater 84 |
36 |
Number Of Female Beneficiaries |
176 |
Number Of Male Beneficiaries |
119 |
Number Of Non Hispanic White Beneficiaries |
238 |
Number Of Black or African American Beneficiaries |
24 |
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 |
261 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
34 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
26 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3408 |