National Provider Identifier [NPI]: |
1962454520 |
Last Name Of The Provider |
JONES |
First Name Of The Provider |
FRAZIER |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
121 N 20TH ST |
Street Address 2 Of The Provider |
#18 |
City Of The Provider |
OPELIKA |
Zip Code Of The Provider |
368015449 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
154 |
Number Of Services |
7915 |
Number Of Medicare Beneficiaries |
856 |
Total Submitted Charge Amount |
1379583.5 |
Total Medicare Allowed Amount |
462052.91 |
Total Medicare Payment Amount |
344000.65 |
Total Medicare Standardized Payment Amount |
381382.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
3359 |
Number Of Medicare Beneficiaries With Drug Services |
371 |
Total Drug Submitted ChargeAmount |
50930 |
Total Drug Medicare AllowedAmount |
35215.25 |
Total Drug Medicare PaymentAmount |
26904.49 |
Total Drug Medicare Standardized Payment Amount |
26904.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
149 |
Number Of Medical Services |
4556 |
Number Of Medicare Beneficiaries With Medical Services |
856 |
Total Medical Submitted Charge Amount |
1328653.5 |
Total Medical Medicare Allowed Amount |
426837.66 |
Total Medical Medicare Payment Amount |
317096.16 |
Total Medical Medicare Standardized Payment Amount |
354478.19 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
156 |
Number Of Beneficiaries Age 65 to 74 |
361 |
Number Of Beneficiaries Age 75 to 84 |
250 |
Number Of Beneficiaries Age Greater 84 |
89 |
Number Of Female Beneficiaries |
554 |
Number Of Male Beneficiaries |
302 |
Number Of Non Hispanic White Beneficiaries |
677 |
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 |
693 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
163 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
69 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1682 |