National Provider Identifier [NPI]: |
1336136456 |
Last Name Of The Provider |
JONCAS |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
191 BEDFORD ST |
Street Address 2 Of The Provider |
4 TH FLOOR |
City Of The Provider |
FALL RIVER |
Zip Code Of The Provider |
027203011 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
97 |
Number Of Services |
7678 |
Number Of Medicare Beneficiaries |
1012 |
Total Submitted Charge Amount |
950977.32 |
Total Medicare Allowed Amount |
290709.87 |
Total Medicare Payment Amount |
227284.16 |
Total Medicare Standardized Payment Amount |
223263.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
182 |
Number Of Medicare Beneficiaries With Drug Services |
144 |
Total Drug Submitted ChargeAmount |
7381.01 |
Total Drug Medicare AllowedAmount |
4339.37 |
Total Drug Medicare PaymentAmount |
4130.34 |
Total Drug Medicare Standardized Payment Amount |
4130.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
88 |
Number Of Medical Services |
7496 |
Number Of Medicare Beneficiaries With Medical Services |
1011 |
Total Medical Submitted Charge Amount |
943596.31 |
Total Medical Medicare Allowed Amount |
286370.5 |
Total Medical Medicare Payment Amount |
223153.82 |
Total Medical Medicare Standardized Payment Amount |
219133.19 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
210 |
Number Of Beneficiaries Age 65 to 74 |
347 |
Number Of Beneficiaries Age 75 to 84 |
252 |
Number Of Beneficiaries Age Greater 84 |
203 |
Number Of Female Beneficiaries |
573 |
Number Of Male Beneficiaries |
439 |
Number Of Non Hispanic White Beneficiaries |
918 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
69 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
658 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
354 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.4226 |