National Provider Identifier [NPI]: |
1851368922 |
Last Name Of The Provider |
JONES |
First Name Of The Provider |
MAURICE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5325 ELLIOTT DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
YPSILANTI |
Zip Code Of The Provider |
481978633 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
2295 |
Number Of Medicare Beneficiaries |
1406 |
Total Submitted Charge Amount |
495081 |
Total Medicare Allowed Amount |
192622.61 |
Total Medicare Payment Amount |
140984.7 |
Total Medicare Standardized Payment Amount |
145351.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
2295 |
Number Of Medicare Beneficiaries With Medical Services |
1406 |
Total Medical Submitted Charge Amount |
495081 |
Total Medical Medicare Allowed Amount |
192622.61 |
Total Medical Medicare Payment Amount |
140984.7 |
Total Medical Medicare Standardized Payment Amount |
145351.62 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
183 |
Number Of Beneficiaries Age 65 to 74 |
501 |
Number Of Beneficiaries Age 75 to 84 |
452 |
Number Of Beneficiaries Age Greater 84 |
270 |
Number Of Female Beneficiaries |
753 |
Number Of Male Beneficiaries |
653 |
Number Of Non Hispanic White Beneficiaries |
1321 |
Number Of Black or African American Beneficiaries |
58 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1152 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
254 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.7418 |