| National Provider Identifier [NPI]: | 1164442349 |
| Last Name Of The Provider | SKELTON |
| First Name Of The Provider | THOMAS |
| Middle Initial Of The Provider | N |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2500 N STATE ST |
| Street Address 2 Of The Provider | DEPARTMENT OF MEDICINE DIVISION OF CARDIOLOGY |
| City Of The Provider | JACKSON |
| Zip Code Of The Provider | 392164500 |
| State Code Of The Provider | MS |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 49 |
| Number Of Services | 11439 |
| Number Of Medicare Beneficiaries | 7073 |
| Total Submitted Charge Amount | 908985.02 |
| Total Medicare Allowed Amount | 174255.44 |
| Total Medicare Payment Amount | 129828.62 |
| Total Medicare Standardized Payment Amount | 136671.41 |
| 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 | 49 |
| Number Of Medical Services | 11439 |
| Number Of Medicare Beneficiaries With Medical Services | 7073 |
| Total Medical Submitted Charge Amount | 908985.02 |
| Total Medical Medicare Allowed Amount | 174255.44 |
| Total Medical Medicare Payment Amount | 129828.62 |
| Total Medical Medicare Standardized Payment Amount | 136671.41 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 1975 |
| Number Of Beneficiaries Age 65 to 74 | 2353 |
| Number Of Beneficiaries Age 75 to 84 | 1721 |
| Number Of Beneficiaries Age Greater 84 | 1024 |
| Number Of Female Beneficiaries | 3811 |
| Number Of Male Beneficiaries | 3262 |
| Number Of Non Hispanic White Beneficiaries | 4181 |
| Number Of Black or African American Beneficiaries | 2772 |
| Number Of AsianPacific Islander Beneficiaries | 20 |
| Number Of Hispanic Beneficiaries | 22 |
| Number Of American Indian Alaska Native Beneficiaries | 44 |
| Number Of Beneficiaries With Race Not Else where Classified | 34 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3676 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 3397 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 24 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 45 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 51 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 12 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 1.8478 |