National Provider Identifier [NPI]: |
1790983682 |
Last Name Of The Provider |
JONES |
First Name Of The Provider |
RYAN |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6750 N MACARTHUR BLVD |
Street Address 2 Of The Provider |
SUITE 350 |
City Of The Provider |
IRVING |
Zip Code Of The Provider |
750392875 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
116 |
Number Of Services |
4353 |
Number Of Medicare Beneficiaries |
285 |
Total Submitted Charge Amount |
309536.6 |
Total Medicare Allowed Amount |
165548.14 |
Total Medicare Payment Amount |
133991.12 |
Total Medicare Standardized Payment Amount |
134115.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
125 |
Number Of Medicare Beneficiaries With Drug Services |
84 |
Total Drug Submitted ChargeAmount |
4066.6 |
Total Drug Medicare AllowedAmount |
2432.11 |
Total Drug Medicare PaymentAmount |
2349.58 |
Total Drug Medicare Standardized Payment Amount |
2349.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
106 |
Number Of Medical Services |
4228 |
Number Of Medicare Beneficiaries With Medical Services |
285 |
Total Medical Submitted Charge Amount |
305470 |
Total Medical Medicare Allowed Amount |
163116.03 |
Total Medical Medicare Payment Amount |
131641.54 |
Total Medical Medicare Standardized Payment Amount |
131766.11 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
27 |
Number Of Beneficiaries Age 65 to 74 |
134 |
Number Of Beneficiaries Age 75 to 84 |
87 |
Number Of Beneficiaries Age Greater 84 |
37 |
Number Of Female Beneficiaries |
175 |
Number Of Male Beneficiaries |
110 |
Number Of Non Hispanic White Beneficiaries |
239 |
Number Of Black or African American Beneficiaries |
26 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
264 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
21 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.0292 |