National Provider Identifier [NPI]: |
1194964387 |
Last Name Of The Provider |
JONES |
First Name Of The Provider |
JUAN |
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 |
525 N GARFIELD AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MONTEREY PARK |
Zip Code Of The Provider |
917541202 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
1066 |
Number Of Medicare Beneficiaries |
789 |
Total Submitted Charge Amount |
668362 |
Total Medicare Allowed Amount |
147409.15 |
Total Medicare Payment Amount |
111292.39 |
Total Medicare Standardized Payment Amount |
106156.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
1066 |
Number Of Medicare Beneficiaries With Medical Services |
789 |
Total Medical Submitted Charge Amount |
668362 |
Total Medical Medicare Allowed Amount |
147409.15 |
Total Medical Medicare Payment Amount |
111292.39 |
Total Medical Medicare Standardized Payment Amount |
106156.74 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
89 |
Number Of Beneficiaries Age 65 to 74 |
186 |
Number Of Beneficiaries Age 75 to 84 |
247 |
Number Of Beneficiaries Age Greater 84 |
267 |
Number Of Female Beneficiaries |
431 |
Number Of Male Beneficiaries |
358 |
Number Of Non Hispanic White Beneficiaries |
85 |
Number Of Black or African American Beneficiaries |
14 |
Number Of AsianPacific Islander Beneficiaries |
502 |
Number Of Hispanic Beneficiaries |
170 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
119 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
670 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
43 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
57 |
Percent Of With Chronic Obstructive Pulmonary Disease |
39 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
64 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
25 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.6677 |