National Provider Identifier [NPI]: |
1295788461 |
Last Name Of The Provider |
JONES |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1320 UNION UNIVERSITY DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
JACKSON |
Zip Code Of The Provider |
383053780 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
72 |
Number Of Services |
13653 |
Number Of Medicare Beneficiaries |
1583 |
Total Submitted Charge Amount |
1077588 |
Total Medicare Allowed Amount |
454944.8 |
Total Medicare Payment Amount |
328885.1 |
Total Medicare Standardized Payment Amount |
353707.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
2421 |
Number Of Medicare Beneficiaries With Drug Services |
269 |
Total Drug Submitted ChargeAmount |
39839 |
Total Drug Medicare AllowedAmount |
26444.36 |
Total Drug Medicare PaymentAmount |
20360.83 |
Total Drug Medicare Standardized Payment Amount |
20360.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
11232 |
Number Of Medicare Beneficiaries With Medical Services |
1583 |
Total Medical Submitted Charge Amount |
1037749 |
Total Medical Medicare Allowed Amount |
428500.44 |
Total Medical Medicare Payment Amount |
308524.27 |
Total Medical Medicare Standardized Payment Amount |
333346.49 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
182 |
Number Of Beneficiaries Age 65 to 74 |
739 |
Number Of Beneficiaries Age 75 to 84 |
496 |
Number Of Beneficiaries Age Greater 84 |
166 |
Number Of Female Beneficiaries |
765 |
Number Of Male Beneficiaries |
818 |
Number Of Non Hispanic White Beneficiaries |
1483 |
Number Of Black or African American Beneficiaries |
82 |
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 |
1332 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
251 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0661 |