Medicare Facts for Phillip A. Jones


National Provider Identifier [NPI]: 1922204494
Last Name Of The Provider JONES
First Name Of The Provider PHILLIP
Middle Initial Of The Provider
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 6127 CLARK RD
Street Address 2 Of The Provider SUITE 200
City Of The Provider PARADISE
Zip Code Of The Provider 959694177
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 95
Number Of Services 1198
Number Of Medicare Beneficiaries 356
Total Submitted Charge Amount 760922.35
Total Medicare Allowed Amount 138326.99
Total Medicare Payment Amount 107800.97
Total Medicare Standardized Payment Amount 105918.71
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 293
Number Of Medicare Beneficiaries With Drug Services 63
Total Drug Submitted ChargeAmount 6879.66
Total Drug Medicare AllowedAmount 4045.5
Total Drug Medicare PaymentAmount 3164.18
Total Drug Medicare Standardized Payment Amount 3164.18
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 91
Number Of Medical Services 905
Number Of Medicare Beneficiaries With Medical Services 356
Total Medical Submitted Charge Amount 754042.69
Total Medical Medicare Allowed Amount 134281.49
Total Medical Medicare Payment Amount 104636.79
Total Medical Medicare Standardized Payment Amount 102754.53
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 35
Number Of Beneficiaries Age 65 to 74 153
Number Of Beneficiaries Age 75 to 84 111
Number Of Beneficiaries Age Greater 84 57
Number Of Female Beneficiaries 220
Number Of Male Beneficiaries 136
Number Of Non Hispanic White Beneficiaries 337
Number Of Black or African American Beneficiaries
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 316
Number Of Beneficiaries With Medicare Medicaid Entitlement 40
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 12
Percent Of With Cancer 13
Percent Of With Heart Failure 12
Percent Of With Chronic Kidney Disease 24
Percent Of With Chronic Obstructive Pulmonary Disease 17
Percent Of With Depression 24
Percent Of With Diabetes 21
Percent Of With Hyperlipidemia 54
Percent Of With Hypertension 63
Percent Of With Ischemic Heart Disease 28
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 63
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 0.9974

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