National Provider Identifier [NPI]: |
1982692281 |
Last Name Of The Provider |
SONES |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
Q |
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1421 N STATE ST |
Street Address 2 Of The Provider |
SUITE 203 |
City Of The Provider |
JACKSON |
Zip Code Of The Provider |
392021658 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Gastroenterology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
1024 |
Number Of Medicare Beneficiaries |
628 |
Total Submitted Charge Amount |
662720 |
Total Medicare Allowed Amount |
133767.56 |
Total Medicare Payment Amount |
103066.99 |
Total Medicare Standardized Payment Amount |
112170.38 |
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 |
51 |
Number Of Medical Services |
1024 |
Number Of Medicare Beneficiaries With Medical Services |
628 |
Total Medical Submitted Charge Amount |
662720 |
Total Medical Medicare Allowed Amount |
133767.56 |
Total Medical Medicare Payment Amount |
103066.99 |
Total Medical Medicare Standardized Payment Amount |
112170.38 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
144 |
Number Of Beneficiaries Age 65 to 74 |
264 |
Number Of Beneficiaries Age 75 to 84 |
164 |
Number Of Beneficiaries Age Greater 84 |
56 |
Number Of Female Beneficiaries |
367 |
Number Of Male Beneficiaries |
261 |
Number Of Non Hispanic White Beneficiaries |
441 |
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 |
466 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
162 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3957 |