National Provider Identifier [NPI]: |
1841595279 |
Last Name Of The Provider |
JONES |
First Name Of The Provider |
BEVERLY |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
NP-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1721 MEDICAL PARK DR STE 101 |
Street Address 2 Of The Provider |
|
City Of The Provider |
BILOXI |
Zip Code Of The Provider |
395322105 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
25 |
Number Of Services |
882 |
Number Of Medicare Beneficiaries |
314 |
Total Submitted Charge Amount |
123855 |
Total Medicare Allowed Amount |
45111.2 |
Total Medicare Payment Amount |
29222.48 |
Total Medicare Standardized Payment Amount |
39601.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
144 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
3208 |
Total Drug Medicare AllowedAmount |
2319.37 |
Total Drug Medicare PaymentAmount |
1857.98 |
Total Drug Medicare Standardized Payment Amount |
1857.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
18 |
Number Of Medical Services |
738 |
Number Of Medicare Beneficiaries With Medical Services |
314 |
Total Medical Submitted Charge Amount |
120647 |
Total Medical Medicare Allowed Amount |
42791.83 |
Total Medical Medicare Payment Amount |
27364.5 |
Total Medical Medicare Standardized Payment Amount |
37743.3 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
53 |
Number Of Beneficiaries Age 65 to 74 |
157 |
Number Of Beneficiaries Age 75 to 84 |
68 |
Number Of Beneficiaries Age Greater 84 |
36 |
Number Of Female Beneficiaries |
222 |
Number Of Male Beneficiaries |
92 |
Number Of Non Hispanic White Beneficiaries |
271 |
Number Of Black or African American Beneficiaries |
29 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
246 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
68 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0503 |