National Provider Identifier [NPI]: |
1659399723 |
Last Name Of The Provider |
JONES |
First Name Of The Provider |
PHILLIP |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1200 N GLOSTER ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
TUPELO |
Zip Code Of The Provider |
388041206 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
112 |
Number Of Services |
9867 |
Number Of Medicare Beneficiaries |
845 |
Total Submitted Charge Amount |
413757.5 |
Total Medicare Allowed Amount |
231320.77 |
Total Medicare Payment Amount |
165098.71 |
Total Medicare Standardized Payment Amount |
180224.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
2276 |
Number Of Medicare Beneficiaries With Drug Services |
371 |
Total Drug Submitted ChargeAmount |
44173.5 |
Total Drug Medicare AllowedAmount |
28254.02 |
Total Drug Medicare PaymentAmount |
24076.45 |
Total Drug Medicare Standardized Payment Amount |
24076.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
97 |
Number Of Medical Services |
7591 |
Number Of Medicare Beneficiaries With Medical Services |
845 |
Total Medical Submitted Charge Amount |
369584 |
Total Medical Medicare Allowed Amount |
203066.75 |
Total Medical Medicare Payment Amount |
141022.26 |
Total Medical Medicare Standardized Payment Amount |
156148.49 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
140 |
Number Of Beneficiaries Age 65 to 74 |
377 |
Number Of Beneficiaries Age 75 to 84 |
238 |
Number Of Beneficiaries Age Greater 84 |
90 |
Number Of Female Beneficiaries |
468 |
Number Of Male Beneficiaries |
377 |
Number Of Non Hispanic White Beneficiaries |
705 |
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 |
651 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
194 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
9 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.9018 |