National Provider Identifier [NPI]: |
1497798862 |
Last Name Of The Provider |
JONES |
First Name Of The Provider |
RELDON |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2501 MCHENRY AVE |
Street Address 2 Of The Provider |
STE F |
City Of The Provider |
MODESTO |
Zip Code Of The Provider |
95350 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
2197 |
Number Of Medicare Beneficiaries |
529 |
Total Submitted Charge Amount |
145969.01 |
Total Medicare Allowed Amount |
115322.71 |
Total Medicare Payment Amount |
68031.05 |
Total Medicare Standardized Payment Amount |
65692.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
290 |
Number Of Medicare Beneficiaries With Drug Services |
167 |
Total Drug Submitted ChargeAmount |
11973.01 |
Total Drug Medicare AllowedAmount |
5553.44 |
Total Drug Medicare PaymentAmount |
5397.8 |
Total Drug Medicare Standardized Payment Amount |
5397.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
1907 |
Number Of Medicare Beneficiaries With Medical Services |
528 |
Total Medical Submitted Charge Amount |
133996 |
Total Medical Medicare Allowed Amount |
109769.27 |
Total Medical Medicare Payment Amount |
62633.25 |
Total Medical Medicare Standardized Payment Amount |
60294.48 |
Average Age Of Beneficiaries |
60 |
Number Of Beneficiaries Age Less65 |
267 |
Number Of Beneficiaries Age 65 to 74 |
171 |
Number Of Beneficiaries Age 75 to 84 |
65 |
Number Of Beneficiaries Age Greater 84 |
26 |
Number Of Female Beneficiaries |
278 |
Number Of Male Beneficiaries |
251 |
Number Of Non Hispanic White Beneficiaries |
269 |
Number Of Black or African American Beneficiaries |
39 |
Number Of AsianPacific Islander Beneficiaries |
40 |
Number Of Hispanic Beneficiaries |
160 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
99 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
430 |
Percent Of With Atrial Fibrillation |
3 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
3 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
23 |
Percent Of With Hypertension |
49 |
Percent Of With Ischemic Heart Disease |
15 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
19 |
Percent Of With Schizophrenia Other PsychoticDisorders |
18 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9699 |