Medicare Facts for Dr. Helen Jones, MD


National Provider Identifier [NPI]: 1164418372
Last Name Of The Provider JONES
First Name Of The Provider HELEN
Middle Initial Of The Provider L
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1379 E HERNDON AVE
Street Address 2 Of The Provider
City Of The Provider FRESNO
Zip Code Of The Provider 937203309
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 88
Number Of Services 1837
Number Of Medicare Beneficiaries 253
Total Submitted Charge Amount 213711.8
Total Medicare Allowed Amount 94623.91
Total Medicare Payment Amount 73539.69
Total Medicare Standardized Payment Amount 70610.39
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 11
Number Of Drug Services 389
Number Of Medicare Beneficiaries With Drug Services 125
Total Drug Submitted ChargeAmount 13056
Total Drug Medicare AllowedAmount 5783.45
Total Drug Medicare PaymentAmount 5543.29
Total Drug Medicare Standardized Payment Amount 5543.29
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 77
Number Of Medical Services 1448
Number Of Medicare Beneficiaries With Medical Services 253
Total Medical Submitted Charge Amount 200655.8
Total Medical Medicare Allowed Amount 88840.46
Total Medical Medicare Payment Amount 67996.4
Total Medical Medicare Standardized Payment Amount 65067.1
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 140
Number Of Beneficiaries Age 75 to 84 69
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 227
Number Of Male Beneficiaries 26
Number Of Non Hispanic White Beneficiaries 183
Number Of Black or African American Beneficiaries 40
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 237
Number Of Beneficiaries With Medicare Medicaid Entitlement 16
Percent Of With Atrial Fibrillation 7
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 6
Percent Of With Cancer 10
Percent Of With Heart Failure 12
Percent Of With Chronic Kidney Disease 11
Percent Of With Chronic Obstructive Pulmonary Disease 10
Percent Of With Depression 18
Percent Of With Diabetes 25
Percent Of With Hyperlipidemia 43
Percent Of With Hypertension 55
Percent Of With Ischemic Heart Disease 20
Percent Of With Osteoporosis 13
Percent Of With Rheumatoid Arthritis Osteoarthritis 39
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0033

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