National Provider Identifier [NPI]: |
1881766186 |
Last Name Of The Provider |
JONES |
First Name Of The Provider |
CHRISTIAN |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6120 MAE ANNE AVE STE 1 |
Street Address 2 Of The Provider |
|
City Of The Provider |
RENO |
Zip Code Of The Provider |
895234706 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
3707 |
Number Of Medicare Beneficiaries |
812 |
Total Submitted Charge Amount |
424125 |
Total Medicare Allowed Amount |
221918.66 |
Total Medicare Payment Amount |
154648.79 |
Total Medicare Standardized Payment Amount |
149511.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
211 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
2110 |
Total Drug Medicare AllowedAmount |
375.19 |
Total Drug Medicare PaymentAmount |
262.91 |
Total Drug Medicare Standardized Payment Amount |
262.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
3496 |
Number Of Medicare Beneficiaries With Medical Services |
812 |
Total Medical Submitted Charge Amount |
422015 |
Total Medical Medicare Allowed Amount |
221543.47 |
Total Medical Medicare Payment Amount |
154385.88 |
Total Medical Medicare Standardized Payment Amount |
149248.11 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
46 |
Number Of Beneficiaries Age 65 to 74 |
451 |
Number Of Beneficiaries Age 75 to 84 |
252 |
Number Of Beneficiaries Age Greater 84 |
63 |
Number Of Female Beneficiaries |
332 |
Number Of Male Beneficiaries |
480 |
Number Of Non Hispanic White Beneficiaries |
760 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
780 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
32 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
6 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
49 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8277 |