National Provider Identifier [NPI]: |
1326016445 |
Last Name Of The Provider |
JONES |
First Name Of The Provider |
EMILY |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
144 VIRGINIA AVE |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
DALEVILLE |
Zip Code Of The Provider |
363222306 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
104 |
Number Of Services |
9415 |
Number Of Medicare Beneficiaries |
1061 |
Total Submitted Charge Amount |
542147 |
Total Medicare Allowed Amount |
315579.57 |
Total Medicare Payment Amount |
229342.94 |
Total Medicare Standardized Payment Amount |
249819.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
424 |
Number Of Medicare Beneficiaries With Drug Services |
204 |
Total Drug Submitted ChargeAmount |
6405 |
Total Drug Medicare AllowedAmount |
3626.65 |
Total Drug Medicare PaymentAmount |
3264.11 |
Total Drug Medicare Standardized Payment Amount |
3264.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
93 |
Number Of Medical Services |
8991 |
Number Of Medicare Beneficiaries With Medical Services |
1061 |
Total Medical Submitted Charge Amount |
535742 |
Total Medical Medicare Allowed Amount |
311952.92 |
Total Medical Medicare Payment Amount |
226078.83 |
Total Medical Medicare Standardized Payment Amount |
246555.13 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
195 |
Number Of Beneficiaries Age 65 to 74 |
483 |
Number Of Beneficiaries Age 75 to 84 |
283 |
Number Of Beneficiaries Age Greater 84 |
100 |
Number Of Female Beneficiaries |
662 |
Number Of Male Beneficiaries |
399 |
Number Of Non Hispanic White Beneficiaries |
893 |
Number Of Black or African American Beneficiaries |
144 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
878 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
183 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.2333 |