National Provider Identifier [NPI]: |
1457344202 |
Last Name Of The Provider |
JONES |
First Name Of The Provider |
HOLLY |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M. D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7515 MAIN ST |
Street Address 2 Of The Provider |
SUITE 670 |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770304519 |
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 |
41 |
Number Of Services |
13914 |
Number Of Medicare Beneficiaries |
286 |
Total Submitted Charge Amount |
1423090.45 |
Total Medicare Allowed Amount |
511543.73 |
Total Medicare Payment Amount |
388655.2 |
Total Medicare Standardized Payment Amount |
393345.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
18 |
Number Of Drug Services |
12753 |
Number Of Medicare Beneficiaries With Drug Services |
97 |
Total Drug Submitted ChargeAmount |
1281355.04 |
Total Drug Medicare AllowedAmount |
420586.9 |
Total Drug Medicare PaymentAmount |
325353.63 |
Total Drug Medicare Standardized Payment Amount |
325353.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
1161 |
Number Of Medicare Beneficiaries With Medical Services |
286 |
Total Medical Submitted Charge Amount |
141735.41 |
Total Medical Medicare Allowed Amount |
90956.83 |
Total Medical Medicare Payment Amount |
63301.57 |
Total Medical Medicare Standardized Payment Amount |
67992.13 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
44 |
Number Of Beneficiaries Age 65 to 74 |
145 |
Number Of Beneficiaries Age 75 to 84 |
77 |
Number Of Beneficiaries Age Greater 84 |
20 |
Number Of Female Beneficiaries |
233 |
Number Of Male Beneficiaries |
53 |
Number Of Non Hispanic White Beneficiaries |
258 |
Number Of Black or African American Beneficiaries |
12 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
23 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.2549 |