National Provider Identifier [NPI]: |
1700820578 |
Last Name Of The Provider |
JONES |
First Name Of The Provider |
CURTIS |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
390 TOLL GATE RD |
Street Address 2 Of The Provider |
SUITE 204 |
City Of The Provider |
WARWICK |
Zip Code Of The Provider |
028864326 |
State Code Of The Provider |
RI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
1105 |
Number Of Medicare Beneficiaries |
262 |
Total Submitted Charge Amount |
281582.36 |
Total Medicare Allowed Amount |
95178.71 |
Total Medicare Payment Amount |
71278.42 |
Total Medicare Standardized Payment Amount |
71109.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
81 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
85051.36 |
Total Drug Medicare AllowedAmount |
14371.15 |
Total Drug Medicare PaymentAmount |
11180.26 |
Total Drug Medicare Standardized Payment Amount |
11180.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
1024 |
Number Of Medicare Beneficiaries With Medical Services |
262 |
Total Medical Submitted Charge Amount |
196531 |
Total Medical Medicare Allowed Amount |
80807.56 |
Total Medical Medicare Payment Amount |
60098.16 |
Total Medical Medicare Standardized Payment Amount |
59929.18 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
27 |
Number Of Beneficiaries Age 65 to 74 |
104 |
Number Of Beneficiaries Age 75 to 84 |
71 |
Number Of Beneficiaries Age Greater 84 |
60 |
Number Of Female Beneficiaries |
67 |
Number Of Male Beneficiaries |
195 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
234 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
28 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3444 |