National Provider Identifier [NPI]: |
1720179294 |
Last Name Of The Provider |
JONES |
First Name Of The Provider |
BRUCE |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
224 S WOODS MILL RD |
Street Address 2 Of The Provider |
SUITE 255S |
City Of The Provider |
CHESTERFIELD |
Zip Code Of The Provider |
630173491 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
76 |
Number Of Services |
3190 |
Number Of Medicare Beneficiaries |
651 |
Total Submitted Charge Amount |
1275617.71 |
Total Medicare Allowed Amount |
263141.8 |
Total Medicare Payment Amount |
196531.09 |
Total Medicare Standardized Payment Amount |
188077.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1244 |
Number Of Medicare Beneficiaries With Drug Services |
257 |
Total Drug Submitted ChargeAmount |
72450 |
Total Drug Medicare AllowedAmount |
15296.42 |
Total Drug Medicare PaymentAmount |
11358.59 |
Total Drug Medicare Standardized Payment Amount |
11358.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
1946 |
Number Of Medicare Beneficiaries With Medical Services |
651 |
Total Medical Submitted Charge Amount |
1203167.71 |
Total Medical Medicare Allowed Amount |
247845.38 |
Total Medical Medicare Payment Amount |
185172.5 |
Total Medical Medicare Standardized Payment Amount |
176718.86 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
36 |
Number Of Beneficiaries Age 65 to 74 |
242 |
Number Of Beneficiaries Age 75 to 84 |
212 |
Number Of Beneficiaries Age Greater 84 |
161 |
Number Of Female Beneficiaries |
449 |
Number Of Male Beneficiaries |
202 |
Number Of Non Hispanic White Beneficiaries |
608 |
Number Of Black or African American Beneficiaries |
24 |
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 |
604 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
47 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2695 |