National Provider Identifier [NPI]: |
1821035569 |
Last Name Of The Provider |
JONES |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1405 DOCTORS DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
WEST PLAINS |
Zip Code Of The Provider |
657754754 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
114 |
Number Of Services |
16179 |
Number Of Medicare Beneficiaries |
2406 |
Total Submitted Charge Amount |
8425927.16 |
Total Medicare Allowed Amount |
3367152.39 |
Total Medicare Payment Amount |
2560795.16 |
Total Medicare Standardized Payment Amount |
2662170.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
6798 |
Number Of Medicare Beneficiaries With Drug Services |
233 |
Total Drug Submitted ChargeAmount |
4579123.16 |
Total Drug Medicare AllowedAmount |
1948564.82 |
Total Drug Medicare PaymentAmount |
1515013.32 |
Total Drug Medicare Standardized Payment Amount |
1515013.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
106 |
Number Of Medical Services |
9381 |
Number Of Medicare Beneficiaries With Medical Services |
2406 |
Total Medical Submitted Charge Amount |
3846804 |
Total Medical Medicare Allowed Amount |
1418587.57 |
Total Medical Medicare Payment Amount |
1045781.84 |
Total Medical Medicare Standardized Payment Amount |
1147156.76 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
228 |
Number Of Beneficiaries Age 65 to 74 |
864 |
Number Of Beneficiaries Age 75 to 84 |
956 |
Number Of Beneficiaries Age Greater 84 |
358 |
Number Of Female Beneficiaries |
1437 |
Number Of Male Beneficiaries |
969 |
Number Of Non Hispanic White Beneficiaries |
2366 |
Number Of Black or African American Beneficiaries |
11 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1894 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
512 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1828 |