National Provider Identifier [NPI]: |
1821191735 |
Last Name Of The Provider |
JONES |
First Name Of The Provider |
DENNIS |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
50 MEDICAL PARK DR E |
Street Address 2 Of The Provider |
ST. VINCENT'S EAST |
City Of The Provider |
BIRMINGHAM |
Zip Code Of The Provider |
352353401 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
2030 |
Number Of Medicare Beneficiaries |
1303 |
Total Submitted Charge Amount |
932781 |
Total Medicare Allowed Amount |
223861.89 |
Total Medicare Payment Amount |
166265.56 |
Total Medicare Standardized Payment Amount |
177157.59 |
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 |
38 |
Number Of Medical Services |
2030 |
Number Of Medicare Beneficiaries With Medical Services |
1303 |
Total Medical Submitted Charge Amount |
932781 |
Total Medical Medicare Allowed Amount |
223861.89 |
Total Medical Medicare Payment Amount |
166265.56 |
Total Medical Medicare Standardized Payment Amount |
177157.59 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
387 |
Number Of Beneficiaries Age 65 to 74 |
357 |
Number Of Beneficiaries Age 75 to 84 |
330 |
Number Of Beneficiaries Age Greater 84 |
229 |
Number Of Female Beneficiaries |
789 |
Number Of Male Beneficiaries |
514 |
Number Of Non Hispanic White Beneficiaries |
1022 |
Number Of Black or African American Beneficiaries |
263 |
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 |
935 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
368 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.6627 |