National Provider Identifier [NPI]: |
1740235308 |
Last Name Of The Provider |
JONES |
First Name Of The Provider |
JAY |
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 |
8210 WALNUT HILL LN |
Street Address 2 Of The Provider |
SUITE 505 |
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
752314405 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
160 |
Number Of Services |
12008 |
Number Of Medicare Beneficiaries |
500 |
Total Submitted Charge Amount |
466440.47 |
Total Medicare Allowed Amount |
340745.87 |
Total Medicare Payment Amount |
288361.26 |
Total Medicare Standardized Payment Amount |
288933.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
378 |
Number Of Medicare Beneficiaries With Drug Services |
235 |
Total Drug Submitted ChargeAmount |
51748.48 |
Total Drug Medicare AllowedAmount |
30272.31 |
Total Drug Medicare PaymentAmount |
29238.73 |
Total Drug Medicare Standardized Payment Amount |
29238.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
146 |
Number Of Medical Services |
11630 |
Number Of Medicare Beneficiaries With Medical Services |
500 |
Total Medical Submitted Charge Amount |
414691.99 |
Total Medical Medicare Allowed Amount |
310473.56 |
Total Medical Medicare Payment Amount |
259122.53 |
Total Medical Medicare Standardized Payment Amount |
259694.83 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
11 |
Number Of Beneficiaries Age 65 to 74 |
209 |
Number Of Beneficiaries Age 75 to 84 |
154 |
Number Of Beneficiaries Age Greater 84 |
126 |
Number Of Female Beneficiaries |
265 |
Number Of Male Beneficiaries |
235 |
Number Of Non Hispanic White Beneficiaries |
469 |
Number Of Black or African American Beneficiaries |
13 |
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 |
489 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
11 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
16 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9031 |