National Provider Identifier [NPI]: |
1477757045 |
Last Name Of The Provider |
JAYROE |
First Name Of The Provider |
JASON |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
300 E BOYD AVE STE 201 |
Street Address 2 Of The Provider |
|
City Of The Provider |
GREENFIELD |
Zip Code Of The Provider |
461402818 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
70 |
Number Of Services |
1740 |
Number Of Medicare Beneficiaries |
731 |
Total Submitted Charge Amount |
1524519 |
Total Medicare Allowed Amount |
235398.5 |
Total Medicare Payment Amount |
177361.53 |
Total Medicare Standardized Payment Amount |
190567.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
156 |
Number Of Medicare Beneficiaries With Drug Services |
39 |
Total Drug Submitted ChargeAmount |
21840 |
Total Drug Medicare AllowedAmount |
8254.78 |
Total Drug Medicare PaymentAmount |
6181.28 |
Total Drug Medicare Standardized Payment Amount |
6181.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
1584 |
Number Of Medicare Beneficiaries With Medical Services |
731 |
Total Medical Submitted Charge Amount |
1502679 |
Total Medical Medicare Allowed Amount |
227143.72 |
Total Medical Medicare Payment Amount |
171180.25 |
Total Medical Medicare Standardized Payment Amount |
184385.8 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
95 |
Number Of Beneficiaries Age 65 to 74 |
326 |
Number Of Beneficiaries Age 75 to 84 |
228 |
Number Of Beneficiaries Age Greater 84 |
82 |
Number Of Female Beneficiaries |
376 |
Number Of Male Beneficiaries |
355 |
Number Of Non Hispanic White Beneficiaries |
694 |
Number Of Black or African American Beneficiaries |
23 |
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 |
600 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
131 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4366 |