National Provider Identifier [NPI]: |
1962458240 |
Last Name Of The Provider |
JONES |
First Name Of The Provider |
MARIA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1627 W CHEW ST |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
ALLENTOWN |
Zip Code Of The Provider |
181023648 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
666 |
Number Of Medicare Beneficiaries |
312 |
Total Submitted Charge Amount |
71530 |
Total Medicare Allowed Amount |
37082.21 |
Total Medicare Payment Amount |
26580.33 |
Total Medicare Standardized Payment Amount |
27655.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
78 |
Number Of Medicare Beneficiaries With Drug Services |
72 |
Total Drug Submitted ChargeAmount |
3695 |
Total Drug Medicare AllowedAmount |
2619.82 |
Total Drug Medicare PaymentAmount |
2567.06 |
Total Drug Medicare Standardized Payment Amount |
2567.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
588 |
Number Of Medicare Beneficiaries With Medical Services |
312 |
Total Medical Submitted Charge Amount |
67835 |
Total Medical Medicare Allowed Amount |
34462.39 |
Total Medical Medicare Payment Amount |
24013.27 |
Total Medical Medicare Standardized Payment Amount |
25088.34 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
138 |
Number Of Beneficiaries Age 65 to 74 |
99 |
Number Of Beneficiaries Age 75 to 84 |
48 |
Number Of Beneficiaries Age Greater 84 |
27 |
Number Of Female Beneficiaries |
168 |
Number Of Male Beneficiaries |
144 |
Number Of Non Hispanic White Beneficiaries |
155 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
120 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
126 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
186 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.6974 |