National Provider Identifier [NPI]: |
1710921481 |
Last Name Of The Provider |
JONES |
First Name Of The Provider |
ZOE |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
682 HEMLOCK ST |
Street Address 2 Of The Provider |
SUITE 490 |
City Of The Provider |
MACON |
Zip Code Of The Provider |
312018307 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
70 |
Number Of Services |
9286 |
Number Of Medicare Beneficiaries |
2514 |
Total Submitted Charge Amount |
2551804 |
Total Medicare Allowed Amount |
717915.54 |
Total Medicare Payment Amount |
546479.15 |
Total Medicare Standardized Payment Amount |
578494.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
823 |
Number Of Medicare Beneficiaries With Drug Services |
165 |
Total Drug Submitted ChargeAmount |
112160 |
Total Drug Medicare AllowedAmount |
35376.56 |
Total Drug Medicare PaymentAmount |
27598.12 |
Total Drug Medicare Standardized Payment Amount |
27598.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
8463 |
Number Of Medicare Beneficiaries With Medical Services |
2514 |
Total Medical Submitted Charge Amount |
2439644 |
Total Medical Medicare Allowed Amount |
682538.98 |
Total Medical Medicare Payment Amount |
518881.03 |
Total Medical Medicare Standardized Payment Amount |
550895.92 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
353 |
Number Of Beneficiaries Age 65 to 74 |
920 |
Number Of Beneficiaries Age 75 to 84 |
886 |
Number Of Beneficiaries Age Greater 84 |
355 |
Number Of Female Beneficiaries |
1362 |
Number Of Male Beneficiaries |
1152 |
Number Of Non Hispanic White Beneficiaries |
2003 |
Number Of Black or African American Beneficiaries |
479 |
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 |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
2031 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
483 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.7455 |