| National Provider Identifier [NPI]: | 1003844937 |
| Last Name Of The Provider | MCDONNELL |
| First Name Of The Provider | JONELLE |
| Middle Initial Of The Provider | K |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 25097 OLYMPIA AVE |
| Street Address 2 Of The Provider | SUITE 204 |
| City Of The Provider | PUNTA GORDA |
| Zip Code Of The Provider | 339503903 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Dermatology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 76 |
| Number Of Services | 16354 |
| Number Of Medicare Beneficiaries | 1912 |
| Total Submitted Charge Amount | 958598.69 |
| Total Medicare Allowed Amount | 911661.66 |
| Total Medicare Payment Amount | 678040.48 |
| Total Medicare Standardized Payment Amount | 676868.88 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 484 |
| Number Of Medicare Beneficiaries With Drug Services | 249 |
| Total Drug Submitted ChargeAmount | 49631.04 |
| Total Drug Medicare AllowedAmount | 49299.06 |
| Total Drug Medicare PaymentAmount | 35600.27 |
| Total Drug Medicare Standardized Payment Amount | 35600.27 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 74 |
| Number Of Medical Services | 15870 |
| Number Of Medicare Beneficiaries With Medical Services | 1912 |
| Total Medical Submitted Charge Amount | 908967.65 |
| Total Medical Medicare Allowed Amount | 862362.6 |
| Total Medical Medicare Payment Amount | 642440.21 |
| Total Medical Medicare Standardized Payment Amount | 641268.61 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 58 |
| Number Of Beneficiaries Age 65 to 74 | 1132 |
| Number Of Beneficiaries Age 75 to 84 | 592 |
| Number Of Beneficiaries Age Greater 84 | 130 |
| Number Of Female Beneficiaries | 1102 |
| Number Of Male Beneficiaries | 810 |
| Number Of Non Hispanic White Beneficiaries | 1860 |
| 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 | 31 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1882 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 30 |
| Percent Of With Atrial Fibrillation | 10 |
| Percent Of With Alzheimers Disease or Dementia | 4 |
| Percent Of With Asthma | 5 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 11 |
| Percent Of With Chronic Kidney Disease | 15 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 11 |
| Percent Of With Depression | 13 |
| Percent Of With Diabetes | 24 |
| Percent Of With Hyperlipidemia | 73 |
| Percent Of With Hypertension | 65 |
| Percent Of With Ischemic Heart Disease | 35 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 2 |
| Average HCC Risk Score Of Beneficiaries | 0.9153 |