| National Provider Identifier [NPI]: | 1194717975 |
| Last Name Of The Provider | JARRELL |
| First Name Of The Provider | JERRY |
| Middle Initial Of The Provider | B |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 226 SE DEBELL AVE |
| Street Address 2 Of The Provider | BLDG B |
| City Of The Provider | BARTLESVILLE |
| Zip Code Of The Provider | 740062300 |
| State Code Of The Provider | OK |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Internal Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 58 |
| Number Of Services | 5503 |
| Number Of Medicare Beneficiaries | 1643 |
| Total Submitted Charge Amount | 338366.48 |
| Total Medicare Allowed Amount | 216502.11 |
| Total Medicare Payment Amount | 174010 |
| Total Medicare Standardized Payment Amount | 178896.49 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 10 |
| Number Of Drug Services | 1974 |
| Number Of Medicare Beneficiaries With Drug Services | 1328 |
| Total Drug Submitted ChargeAmount | 62856.87 |
| Total Drug Medicare AllowedAmount | 41374.42 |
| Total Drug Medicare PaymentAmount | 39956.01 |
| Total Drug Medicare Standardized Payment Amount | 39956.01 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 48 |
| Number Of Medical Services | 3529 |
| Number Of Medicare Beneficiaries With Medical Services | 1643 |
| Total Medical Submitted Charge Amount | 275509.61 |
| Total Medical Medicare Allowed Amount | 175127.69 |
| Total Medical Medicare Payment Amount | 134053.99 |
| Total Medical Medicare Standardized Payment Amount | 138940.48 |
| Average Age Of Beneficiaries | 78 |
| Number Of Beneficiaries Age Less65 | 53 |
| Number Of Beneficiaries Age 65 to 74 | 520 |
| Number Of Beneficiaries Age 75 to 84 | 612 |
| Number Of Beneficiaries Age Greater 84 | 458 |
| Number Of Female Beneficiaries | 998 |
| Number Of Male Beneficiaries | 645 |
| Number Of Non Hispanic White Beneficiaries | 1553 |
| Number Of Black or African American Beneficiaries | 13 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 13 |
| Number Of American Indian Alaska Native Beneficiaries | 53 |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1524 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 119 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 8 |
| Percent Of With Heart Failure | 15 |
| Percent Of With Chronic Kidney Disease | 16 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 7 |
| Percent Of With Depression | 17 |
| Percent Of With Diabetes | 24 |
| Percent Of With Hyperlipidemia | 53 |
| Percent Of With Hypertension | 65 |
| Percent Of With Ischemic Heart Disease | 28 |
| Percent Of With Osteoporosis | 11 |
| 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 | 1.0308 |