National Provider Identifier [NPI]: |
1073559407 |
Last Name Of The Provider |
JONES |
First Name Of The Provider |
HARRIETT |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2117 HARTFORD RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
HAMPTON |
Zip Code Of The Provider |
236662408 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
106 |
Number Of Services |
9462 |
Number Of Medicare Beneficiaries |
702 |
Total Submitted Charge Amount |
692074 |
Total Medicare Allowed Amount |
286975.34 |
Total Medicare Payment Amount |
215710.14 |
Total Medicare Standardized Payment Amount |
222647.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
382 |
Number Of Medicare Beneficiaries With Drug Services |
281 |
Total Drug Submitted ChargeAmount |
19326 |
Total Drug Medicare AllowedAmount |
9110.49 |
Total Drug Medicare PaymentAmount |
8879.47 |
Total Drug Medicare Standardized Payment Amount |
8879.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
97 |
Number Of Medical Services |
9080 |
Number Of Medicare Beneficiaries With Medical Services |
702 |
Total Medical Submitted Charge Amount |
672748 |
Total Medical Medicare Allowed Amount |
277864.85 |
Total Medical Medicare Payment Amount |
206830.67 |
Total Medical Medicare Standardized Payment Amount |
213767.97 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
59 |
Number Of Beneficiaries Age 65 to 74 |
340 |
Number Of Beneficiaries Age 75 to 84 |
213 |
Number Of Beneficiaries Age Greater 84 |
90 |
Number Of Female Beneficiaries |
544 |
Number Of Male Beneficiaries |
158 |
Number Of Non Hispanic White Beneficiaries |
481 |
Number Of Black or African American Beneficiaries |
195 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
644 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
58 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9997 |