National Provider Identifier [NPI]: |
1023061827 |
Last Name Of The Provider |
JONES |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3901 W 15TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
PLANO |
Zip Code Of The Provider |
750757738 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
233 |
Number Of Services |
5644 |
Number Of Medicare Beneficiaries |
2857 |
Total Submitted Charge Amount |
1294751 |
Total Medicare Allowed Amount |
251067.25 |
Total Medicare Payment Amount |
192287.85 |
Total Medicare Standardized Payment Amount |
205300.57 |
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 |
233 |
Number Of Medical Services |
5644 |
Number Of Medicare Beneficiaries With Medical Services |
2857 |
Total Medical Submitted Charge Amount |
1294751 |
Total Medical Medicare Allowed Amount |
251067.25 |
Total Medical Medicare Payment Amount |
192287.85 |
Total Medical Medicare Standardized Payment Amount |
205300.57 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
625 |
Number Of Beneficiaries Age 65 to 74 |
1008 |
Number Of Beneficiaries Age 75 to 84 |
772 |
Number Of Beneficiaries Age Greater 84 |
452 |
Number Of Female Beneficiaries |
1608 |
Number Of Male Beneficiaries |
1249 |
Number Of Non Hispanic White Beneficiaries |
2201 |
Number Of Black or African American Beneficiaries |
588 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
2067 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
790 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.7929 |