Medicare Facts for Rebecca Jones, SLP


National Provider Identifier [NPI]: 1245238898
Last Name Of The Provider JONES
First Name Of The Provider REBECCA
Middle Initial Of The Provider O
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1424 EAST FRONT
Street Address 2 Of The Provider
City Of The Provider TYLER
Zip Code Of The Provider 757028501
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Ophthalmology
Medicare Participation Indicator Y
Number Of HCPCS 42
Number Of Services 6044
Number Of Medicare Beneficiaries 1351
Total Submitted Charge Amount 3619852
Total Medicare Allowed Amount 1425905.26
Total Medicare Payment Amount 1079531.96
Total Medicare Standardized Payment Amount 1118740.68
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 908
Number Of Medicare Beneficiaries With Drug Services 103
Total Drug Submitted ChargeAmount 1196650
Total Drug Medicare AllowedAmount 671910.97
Total Drug Medicare PaymentAmount 521251.62
Total Drug Medicare Standardized Payment Amount 521251.62
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 38
Number Of Medical Services 5136
Number Of Medicare Beneficiaries With Medical Services 1351
Total Medical Submitted Charge Amount 2423202
Total Medical Medicare Allowed Amount 753994.29
Total Medical Medicare Payment Amount 558280.34
Total Medical Medicare Standardized Payment Amount 597489.06
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 75
Number Of Beneficiaries Age 65 to 74 559
Number Of Beneficiaries Age 75 to 84 511
Number Of Beneficiaries Age Greater 84 206
Number Of Female Beneficiaries 802
Number Of Male Beneficiaries 549
Number Of Non Hispanic White Beneficiaries 1216
Number Of Black or African American Beneficiaries 93
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 29
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 1199
Number Of Beneficiaries With Medicare Medicaid Entitlement 152
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 11
Percent Of With Asthma 5
Percent Of With Cancer 8
Percent Of With Heart Failure 20
Percent Of With Chronic Kidney Disease 20
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 17
Percent Of With Diabetes 41
Percent Of With Hyperlipidemia 62
Percent Of With Hypertension 73
Percent Of With Ischemic Heart Disease 38
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 42
Percent Of With Schizophrenia Other PsychoticDisorders 2
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.2275

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