National Provider Identifier [NPI]: |
1871536235 |
Last Name Of The Provider |
JONES |
First Name Of The Provider |
MARK |
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 |
1400 JOHNSTON WILLIS DR |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
NORTH CHESTERFIELD |
Zip Code Of The Provider |
232354765 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
122 |
Number Of Services |
10329 |
Number Of Medicare Beneficiaries |
892 |
Total Submitted Charge Amount |
1417809 |
Total Medicare Allowed Amount |
531735.2 |
Total Medicare Payment Amount |
397848.77 |
Total Medicare Standardized Payment Amount |
408760.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
6028 |
Number Of Medicare Beneficiaries With Drug Services |
397 |
Total Drug Submitted ChargeAmount |
184992 |
Total Drug Medicare AllowedAmount |
135946.09 |
Total Drug Medicare PaymentAmount |
104572.69 |
Total Drug Medicare Standardized Payment Amount |
104572.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
117 |
Number Of Medical Services |
4301 |
Number Of Medicare Beneficiaries With Medical Services |
892 |
Total Medical Submitted Charge Amount |
1232817 |
Total Medical Medicare Allowed Amount |
395789.11 |
Total Medical Medicare Payment Amount |
293276.08 |
Total Medical Medicare Standardized Payment Amount |
304187.6 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
58 |
Number Of Beneficiaries Age 65 to 74 |
524 |
Number Of Beneficiaries Age 75 to 84 |
251 |
Number Of Beneficiaries Age Greater 84 |
59 |
Number Of Female Beneficiaries |
625 |
Number Of Male Beneficiaries |
267 |
Number Of Non Hispanic White Beneficiaries |
688 |
Number Of Black or African American Beneficiaries |
180 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
854 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
38 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.9752 |