| National Provider Identifier [NPI]: | 1013057488 |
| Last Name Of The Provider | SPARKS |
| First Name Of The Provider | JAY |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3231 S NATIONAL AVE |
| Street Address 2 Of The Provider | SUITE 220 |
| City Of The Provider | SPRINGFIELD |
| Zip Code Of The Provider | 658077304 |
| State Code Of The Provider | MO |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Family Practice |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 130 |
| Number Of Services | 10879 |
| Number Of Medicare Beneficiaries | 5950 |
| Total Submitted Charge Amount | 1525489.5 |
| Total Medicare Allowed Amount | 507475.27 |
| Total Medicare Payment Amount | 381423.43 |
| Total Medicare Standardized Payment Amount | 434660.21 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 11 |
| Number Of Drug Services | 757 |
| Number Of Medicare Beneficiaries With Drug Services | 220 |
| Total Drug Submitted ChargeAmount | 47302.5 |
| Total Drug Medicare AllowedAmount | 32538.53 |
| Total Drug Medicare PaymentAmount | 26609.92 |
| Total Drug Medicare Standardized Payment Amount | 26609.92 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 119 |
| Number Of Medical Services | 10122 |
| Number Of Medicare Beneficiaries With Medical Services | 5950 |
| Total Medical Submitted Charge Amount | 1478187 |
| Total Medical Medicare Allowed Amount | 474936.74 |
| Total Medical Medicare Payment Amount | 354813.51 |
| Total Medical Medicare Standardized Payment Amount | 408050.29 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 855 |
| Number Of Beneficiaries Age 65 to 74 | 2739 |
| Number Of Beneficiaries Age 75 to 84 | 1717 |
| Number Of Beneficiaries Age Greater 84 | 639 |
| Number Of Female Beneficiaries | 3894 |
| Number Of Male Beneficiaries | 2056 |
| Number Of Non Hispanic White Beneficiaries | 5753 |
| Number Of Black or African American Beneficiaries | 56 |
| Number Of AsianPacific Islander Beneficiaries | 25 |
| Number Of Hispanic Beneficiaries | 46 |
| Number Of American Indian Alaska Native Beneficiaries | 15 |
| Number Of Beneficiaries With Race Not Else where Classified | 55 |
| Number Of Beneficiaries With Medicare Only Entitlement | 5229 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 721 |
| Percent Of With Atrial Fibrillation | 10 |
| Percent Of With Alzheimers Disease or Dementia | 6 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 12 |
| Percent Of With Chronic Kidney Disease | 20 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 26 |
| Percent Of With Hyperlipidemia | 54 |
| Percent Of With Hypertension | 61 |
| Percent Of With Ischemic Heart Disease | 29 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.0758 |