Medicare Facts for Dr. James A. Jones, MD


National Provider Identifier [NPI]: 1952474587
Last Name Of The Provider JONES
First Name Of The Provider JAMES
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 255 E 90TH DRIVE
Street Address 2 Of The Provider
City Of The Provider MERRILLVILLE
Zip Code Of The Provider 46410
State Code Of The Provider IN
Country Code Of The Provider US
Provider Type Of The Provider Otolaryngology
Medicare Participation Indicator Y
Number Of HCPCS 38
Number Of Services 914
Number Of Medicare Beneficiaries 321
Total Submitted Charge Amount 205220
Total Medicare Allowed Amount 81009.23
Total Medicare Payment Amount 60175.67
Total Medicare Standardized Payment Amount 65503.83
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 38
Number Of Medical Services 914
Number Of Medicare Beneficiaries With Medical Services 321
Total Medical Submitted Charge Amount 205220
Total Medical Medicare Allowed Amount 81009.23
Total Medical Medicare Payment Amount 60175.67
Total Medical Medicare Standardized Payment Amount 65503.83
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 83
Number Of Beneficiaries Age 65 to 74 108
Number Of Beneficiaries Age 75 to 84 75
Number Of Beneficiaries Age Greater 84 55
Number Of Female Beneficiaries 211
Number Of Male Beneficiaries 110
Number Of Non Hispanic White Beneficiaries 58
Number Of Black or African American Beneficiaries 249
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 209
Number Of Beneficiaries With Medicare Medicaid Entitlement 112
Percent Of With Atrial Fibrillation 8
Percent Of With Alzheimers Disease or Dementia 12
Percent Of With Asthma 14
Percent Of With Cancer 12
Percent Of With Heart Failure 32
Percent Of With Chronic Kidney Disease 29
Percent Of With Chronic Obstructive Pulmonary Disease 30
Percent Of With Depression 15
Percent Of With Diabetes 42
Percent Of With Hyperlipidemia 56
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 41
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 47
Percent Of With Schizophrenia Other PsychoticDisorders 9
Percent Of With Stroke 8
Average HCC Risk Score Of Beneficiaries 1.671

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