National Provider Identifier [NPI]: |
1720077332 |
Last Name Of The Provider |
JONES-MCCLURE |
First Name Of The Provider |
LORA |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2401 W. UNIVERSITY AVE. |
Street Address 2 Of The Provider |
|
City Of The Provider |
MUNCIE |
Zip Code Of The Provider |
473033428 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
18 |
Number Of Services |
1701 |
Number Of Medicare Beneficiaries |
497 |
Total Submitted Charge Amount |
223754 |
Total Medicare Allowed Amount |
153503.04 |
Total Medicare Payment Amount |
118967.91 |
Total Medicare Standardized Payment Amount |
100841.07 |
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 |
18 |
Number Of Medical Services |
1701 |
Number Of Medicare Beneficiaries With Medical Services |
497 |
Total Medical Submitted Charge Amount |
223754 |
Total Medical Medicare Allowed Amount |
153503.04 |
Total Medical Medicare Payment Amount |
118967.91 |
Total Medical Medicare Standardized Payment Amount |
100841.07 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
105 |
Number Of Beneficiaries Age 65 to 74 |
151 |
Number Of Beneficiaries Age 75 to 84 |
141 |
Number Of Beneficiaries Age Greater 84 |
100 |
Number Of Female Beneficiaries |
284 |
Number Of Male Beneficiaries |
213 |
Number Of Non Hispanic White Beneficiaries |
460 |
Number Of Black or African American Beneficiaries |
24 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
342 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
155 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
56 |
Percent Of With Chronic Obstructive Pulmonary Disease |
43 |
Percent Of With Depression |
47 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.3988 |