National Provider Identifier [NPI]: |
1518966100 |
Last Name Of The Provider |
JENKINS |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D., PHD. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8144 WALNUT HILL LN |
Street Address 2 Of The Provider |
SUITE 800 |
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
752314388 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
86 |
Number Of Services |
30633 |
Number Of Medicare Beneficiaries |
363 |
Total Submitted Charge Amount |
539877.18 |
Total Medicare Allowed Amount |
371562.28 |
Total Medicare Payment Amount |
292079.75 |
Total Medicare Standardized Payment Amount |
292428.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
22252 |
Number Of Medicare Beneficiaries With Drug Services |
119 |
Total Drug Submitted ChargeAmount |
227102.95 |
Total Drug Medicare AllowedAmount |
156158 |
Total Drug Medicare PaymentAmount |
123076.86 |
Total Drug Medicare Standardized Payment Amount |
123076.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
76 |
Number Of Medical Services |
8381 |
Number Of Medicare Beneficiaries With Medical Services |
363 |
Total Medical Submitted Charge Amount |
312774.23 |
Total Medical Medicare Allowed Amount |
215404.28 |
Total Medical Medicare Payment Amount |
169002.89 |
Total Medical Medicare Standardized Payment Amount |
169352.07 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
50 |
Number Of Beneficiaries Age 65 to 74 |
190 |
Number Of Beneficiaries Age 75 to 84 |
98 |
Number Of Beneficiaries Age Greater 84 |
25 |
Number Of Female Beneficiaries |
266 |
Number Of Male Beneficiaries |
97 |
Number Of Non Hispanic White Beneficiaries |
270 |
Number Of Black or African American Beneficiaries |
66 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
351 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
12 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
22 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2119 |