National Provider Identifier [NPI]: |
1326048778 |
Last Name Of The Provider |
JONES |
First Name Of The Provider |
RENEE |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
600 E. PLEASANT VALLEY BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
ALTOONA |
Zip Code Of The Provider |
166025530 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
973 |
Number Of Medicare Beneficiaries |
549 |
Total Submitted Charge Amount |
308537 |
Total Medicare Allowed Amount |
142820.01 |
Total Medicare Payment Amount |
100627.16 |
Total Medicare Standardized Payment Amount |
108882.07 |
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 |
30 |
Number Of Medical Services |
973 |
Number Of Medicare Beneficiaries With Medical Services |
549 |
Total Medical Submitted Charge Amount |
308537 |
Total Medical Medicare Allowed Amount |
142820.01 |
Total Medical Medicare Payment Amount |
100627.16 |
Total Medical Medicare Standardized Payment Amount |
108882.07 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
26 |
Number Of Beneficiaries Age 65 to 74 |
186 |
Number Of Beneficiaries Age 75 to 84 |
188 |
Number Of Beneficiaries Age Greater 84 |
149 |
Number Of Female Beneficiaries |
328 |
Number Of Male Beneficiaries |
221 |
Number Of Non Hispanic White Beneficiaries |
531 |
Number Of Black or African American Beneficiaries |
|
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 |
494 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
55 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1867 |