Medicare Facts for Dr. James D. Jones, MD


National Provider Identifier [NPI]: 1790776490
Last Name Of The Provider JONES
First Name Of The Provider JAMES
Middle Initial Of The Provider D
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2325 CRESTMOOR RD
Street Address 2 Of The Provider
City Of The Provider NASHVILLE
Zip Code Of The Provider 372152027
State Code Of The Provider TN
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 90
Number Of Services 1735
Number Of Medicare Beneficiaries 105
Total Submitted Charge Amount 96773
Total Medicare Allowed Amount 50206.87
Total Medicare Payment Amount 41083.89
Total Medicare Standardized Payment Amount 44146.65
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 6
Number Of Drug Services 257
Number Of Medicare Beneficiaries With Drug Services 51
Total Drug Submitted ChargeAmount 2341
Total Drug Medicare AllowedAmount 2162.55
Total Drug Medicare PaymentAmount 2087.93
Total Drug Medicare Standardized Payment Amount 2087.93
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 84
Number Of Medical Services 1478
Number Of Medicare Beneficiaries With Medical Services 105
Total Medical Submitted Charge Amount 94432
Total Medical Medicare Allowed Amount 48044.32
Total Medical Medicare Payment Amount 38995.96
Total Medical Medicare Standardized Payment Amount 42058.72
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 59
Number Of Beneficiaries Age 75 to 84 29
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 60
Number Of Male Beneficiaries 45
Number Of Non Hispanic White Beneficiaries
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
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure 12
Percent Of With Chronic Kidney Disease 44
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 15
Percent Of With Diabetes 26
Percent Of With Hyperlipidemia 30
Percent Of With Hypertension 58
Percent Of With Ischemic Heart Disease 26
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 33
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.8999

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