National Provider Identifier [NPI]: |
1811988108 |
Last Name Of The Provider |
JONES |
First Name Of The Provider |
DONALD |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 NEW YORK AVE |
Street Address 2 Of The Provider |
SUITE 150 |
City Of The Provider |
OAK RIDGE |
Zip Code Of The Provider |
378305212 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Anesthesiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
105 |
Number Of Services |
48461 |
Number Of Medicare Beneficiaries |
762 |
Total Submitted Charge Amount |
3999470.3 |
Total Medicare Allowed Amount |
1091975.4 |
Total Medicare Payment Amount |
951710.5 |
Total Medicare Standardized Payment Amount |
783845.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
17230 |
Number Of Medicare Beneficiaries With Drug Services |
197 |
Total Drug Submitted ChargeAmount |
221047.3 |
Total Drug Medicare AllowedAmount |
61677.16 |
Total Drug Medicare PaymentAmount |
46689.31 |
Total Drug Medicare Standardized Payment Amount |
46689.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
94 |
Number Of Medical Services |
31231 |
Number Of Medicare Beneficiaries With Medical Services |
762 |
Total Medical Submitted Charge Amount |
3778423 |
Total Medical Medicare Allowed Amount |
1030298.24 |
Total Medical Medicare Payment Amount |
905021.19 |
Total Medical Medicare Standardized Payment Amount |
737155.96 |
Average Age Of Beneficiaries |
58 |
Number Of Beneficiaries Age Less65 |
503 |
Number Of Beneficiaries Age 65 to 74 |
179 |
Number Of Beneficiaries Age 75 to 84 |
52 |
Number Of Beneficiaries Age Greater 84 |
28 |
Number Of Female Beneficiaries |
443 |
Number Of Male Beneficiaries |
319 |
Number Of Non Hispanic White Beneficiaries |
728 |
Number Of Black or African American Beneficiaries |
21 |
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 |
314 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
448 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
75 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
37 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.4833 |