Medicare Facts for Dr. James B. Jones, MD


National Provider Identifier [NPI]: 1821022914
Last Name Of The Provider JONES
First Name Of The Provider JAMES
Middle Initial Of The Provider B
Credentials Of The Provider MD PA
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2607 WESTERN AVENUE
Street Address 2 Of The Provider
City Of The Provider ORANGE
Zip Code Of The Provider 77630
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 34
Number Of Services 2848
Number Of Medicare Beneficiaries 421
Total Submitted Charge Amount 119350
Total Medicare Allowed Amount 80160.21
Total Medicare Payment Amount 52846.19
Total Medicare Standardized Payment Amount 56806.49
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 8
Number Of Drug Services 646
Number Of Medicare Beneficiaries With Drug Services 272
Total Drug Submitted ChargeAmount 13686
Total Drug Medicare AllowedAmount 3948.12
Total Drug Medicare PaymentAmount 3469.4
Total Drug Medicare Standardized Payment Amount 3469.4
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 26
Number Of Medical Services 2202
Number Of Medicare Beneficiaries With Medical Services 421
Total Medical Submitted Charge Amount 105664
Total Medical Medicare Allowed Amount 76212.09
Total Medical Medicare Payment Amount 49376.79
Total Medical Medicare Standardized Payment Amount 53337.09
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 37
Number Of Beneficiaries Age 65 to 74 190
Number Of Beneficiaries Age 75 to 84 158
Number Of Beneficiaries Age Greater 84 36
Number Of Female Beneficiaries 216
Number Of Male Beneficiaries 205
Number Of Non Hispanic White Beneficiaries 400
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 388
Number Of Beneficiaries With Medicare Medicaid Entitlement 33
Percent Of With Atrial Fibrillation 13
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 3
Percent Of With Cancer 8
Percent Of With Heart Failure 19
Percent Of With Chronic Kidney Disease 16
Percent Of With Chronic Obstructive Pulmonary Disease 13
Percent Of With Depression 14
Percent Of With Diabetes 32
Percent Of With Hyperlipidemia 48
Percent Of With Hypertension 61
Percent Of With Ischemic Heart Disease 41
Percent Of With Osteoporosis 4
Percent Of With Rheumatoid Arthritis Osteoarthritis 32
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 0.9712

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