| National Provider Identifier [NPI]: | 1942237714 |
| Last Name Of The Provider | KOONS |
| First Name Of The Provider | JAY |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4645 NW 8TH AVE |
| Street Address 2 Of The Provider | INTERVENTIONAL CARDIOLOGISTS OF GAINESVILLE |
| City Of The Provider | GAINESVILLE |
| Zip Code Of The Provider | 326054524 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 139 |
| Number Of Services | 13590 |
| Number Of Medicare Beneficiaries | 2564 |
| Total Submitted Charge Amount | 1038683.5 |
| Total Medicare Allowed Amount | 1011629.42 |
| Total Medicare Payment Amount | 767789.75 |
| Total Medicare Standardized Payment Amount | 778711.18 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 8 |
| Number Of Drug Services | 6425 |
| Number Of Medicare Beneficiaries With Drug Services | 209 |
| Total Drug Submitted ChargeAmount | 37662.35 |
| Total Drug Medicare AllowedAmount | 35811.02 |
| Total Drug Medicare PaymentAmount | 27946.49 |
| Total Drug Medicare Standardized Payment Amount | 27946.49 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 131 |
| Number Of Medical Services | 7165 |
| Number Of Medicare Beneficiaries With Medical Services | 2564 |
| Total Medical Submitted Charge Amount | 1001021.15 |
| Total Medical Medicare Allowed Amount | 975818.4 |
| Total Medical Medicare Payment Amount | 739843.26 |
| Total Medical Medicare Standardized Payment Amount | 750764.69 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 270 |
| Number Of Beneficiaries Age 65 to 74 | 963 |
| Number Of Beneficiaries Age 75 to 84 | 922 |
| Number Of Beneficiaries Age Greater 84 | 409 |
| Number Of Female Beneficiaries | 1320 |
| Number Of Male Beneficiaries | 1244 |
| Number Of Non Hispanic White Beneficiaries | 2220 |
| Number Of Black or African American Beneficiaries | 259 |
| Number Of AsianPacific Islander Beneficiaries | 12 |
| Number Of Hispanic Beneficiaries | 53 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 20 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2030 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 534 |
| Percent Of With Atrial Fibrillation | 30 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 41 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 22 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 73 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 75 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.6906 |