National Provider Identifier [NPI]: |
1750485306 |
Last Name Of The Provider |
JINKS |
First Name Of The Provider |
LARRY |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
802 W LAMPASAS ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
ENNIS |
Zip Code Of The Provider |
75119 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
125 |
Number Of Services |
15543.5 |
Number Of Medicare Beneficiaries |
1049 |
Total Submitted Charge Amount |
838718 |
Total Medicare Allowed Amount |
398058.89 |
Total Medicare Payment Amount |
300582.88 |
Total Medicare Standardized Payment Amount |
315974.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
20 |
Number Of Drug Services |
4088.5 |
Number Of Medicare Beneficiaries With Drug Services |
363 |
Total Drug Submitted ChargeAmount |
105229 |
Total Drug Medicare AllowedAmount |
65537.66 |
Total Drug Medicare PaymentAmount |
51761.87 |
Total Drug Medicare Standardized Payment Amount |
51761.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
105 |
Number Of Medical Services |
11455 |
Number Of Medicare Beneficiaries With Medical Services |
1049 |
Total Medical Submitted Charge Amount |
733489 |
Total Medical Medicare Allowed Amount |
332521.23 |
Total Medical Medicare Payment Amount |
248821.01 |
Total Medical Medicare Standardized Payment Amount |
264212.75 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
128 |
Number Of Beneficiaries Age 65 to 74 |
485 |
Number Of Beneficiaries Age 75 to 84 |
310 |
Number Of Beneficiaries Age Greater 84 |
126 |
Number Of Female Beneficiaries |
592 |
Number Of Male Beneficiaries |
457 |
Number Of Non Hispanic White Beneficiaries |
858 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
99 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
866 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
183 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1191 |