Medicare Facts for Dr. James H. Jones, MD


National Provider Identifier [NPI]: 1053422527
Last Name Of The Provider JONES
First Name Of The Provider JAMES
Middle Initial Of The Provider H
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 535 W 25TH ST
Street Address 2 Of The Provider
City Of The Provider MERCED
Zip Code Of The Provider 953402801
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 72
Number Of Services 5514
Number Of Medicare Beneficiaries 815
Total Submitted Charge Amount 496480
Total Medicare Allowed Amount 342571.36
Total Medicare Payment Amount 251807.43
Total Medicare Standardized Payment Amount 247074.69
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 12
Number Of Drug Services 506
Number Of Medicare Beneficiaries With Drug Services 274
Total Drug Submitted ChargeAmount 17493
Total Drug Medicare AllowedAmount 11297.16
Total Drug Medicare PaymentAmount 10882.39
Total Drug Medicare Standardized Payment Amount 10882.39
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 60
Number Of Medical Services 5008
Number Of Medicare Beneficiaries With Medical Services 815
Total Medical Submitted Charge Amount 478987
Total Medical Medicare Allowed Amount 331274.2
Total Medical Medicare Payment Amount 240925.04
Total Medical Medicare Standardized Payment Amount 236192.3
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 83
Number Of Beneficiaries Age 65 to 74 357
Number Of Beneficiaries Age 75 to 84 232
Number Of Beneficiaries Age Greater 84 143
Number Of Female Beneficiaries 529
Number Of Male Beneficiaries 286
Number Of Non Hispanic White Beneficiaries 604
Number Of Black or African American Beneficiaries 43
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 145
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 633
Number Of Beneficiaries With Medicare Medicaid Entitlement 182
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 15
Percent Of With Asthma 11
Percent Of With Cancer 10
Percent Of With Heart Failure 27
Percent Of With Chronic Kidney Disease 29
Percent Of With Chronic Obstructive Pulmonary Disease 19
Percent Of With Depression 19
Percent Of With Diabetes 38
Percent Of With Hyperlipidemia 37
Percent Of With Hypertension 72
Percent Of With Ischemic Heart Disease 43
Percent Of With Osteoporosis 6
Percent Of With Rheumatoid Arthritis Osteoarthritis 33
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 7
Average HCC Risk Score Of Beneficiaries 1.4474

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