National Provider Identifier [NPI]: |
1124293568 |
Last Name Of The Provider |
JONES |
First Name Of The Provider |
HUGH |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4725 N FEDERAL HWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
FORT LAUDERDALE |
Zip Code Of The Provider |
333084603 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
182 |
Number Of Services |
5789 |
Number Of Medicare Beneficiaries |
3639 |
Total Submitted Charge Amount |
810948 |
Total Medicare Allowed Amount |
247341.94 |
Total Medicare Payment Amount |
187897.94 |
Total Medicare Standardized Payment Amount |
182560.09 |
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 |
182 |
Number Of Medical Services |
5789 |
Number Of Medicare Beneficiaries With Medical Services |
3639 |
Total Medical Submitted Charge Amount |
810948 |
Total Medical Medicare Allowed Amount |
247341.94 |
Total Medical Medicare Payment Amount |
187897.94 |
Total Medical Medicare Standardized Payment Amount |
182560.09 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
379 |
Number Of Beneficiaries Age 65 to 74 |
1318 |
Number Of Beneficiaries Age 75 to 84 |
1128 |
Number Of Beneficiaries Age Greater 84 |
814 |
Number Of Female Beneficiaries |
2033 |
Number Of Male Beneficiaries |
1606 |
Number Of Non Hispanic White Beneficiaries |
3139 |
Number Of Black or African American Beneficiaries |
241 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
160 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
62 |
Number Of Beneficiaries With Medicare Only Entitlement |
3102 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
537 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.6351 |