National Provider Identifier [NPI]: |
1003934647 |
Last Name Of The Provider |
JONES |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8042 WURZBACH RD. |
Street Address 2 Of The Provider |
#280 |
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
78229 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
35 |
Number Of Services |
4703 |
Number Of Medicare Beneficiaries |
409 |
Total Submitted Charge Amount |
331778.5 |
Total Medicare Allowed Amount |
150440.86 |
Total Medicare Payment Amount |
115264.04 |
Total Medicare Standardized Payment Amount |
120258.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
3024 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
77932.5 |
Total Drug Medicare AllowedAmount |
18687.69 |
Total Drug Medicare PaymentAmount |
14425.02 |
Total Drug Medicare Standardized Payment Amount |
14425.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
1679 |
Number Of Medicare Beneficiaries With Medical Services |
409 |
Total Medical Submitted Charge Amount |
253846 |
Total Medical Medicare Allowed Amount |
131753.17 |
Total Medical Medicare Payment Amount |
100839.02 |
Total Medical Medicare Standardized Payment Amount |
105833.81 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
150 |
Number Of Beneficiaries Age 65 to 74 |
128 |
Number Of Beneficiaries Age 75 to 84 |
96 |
Number Of Beneficiaries Age Greater 84 |
35 |
Number Of Female Beneficiaries |
186 |
Number Of Male Beneficiaries |
223 |
Number Of Non Hispanic White Beneficiaries |
229 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
155 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
270 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
139 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
66 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
45 |
Percent Of With Diabetes |
60 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
3.4103 |