National Provider Identifier [NPI]: |
1225024854 |
Last Name Of The Provider |
JONES |
First Name Of The Provider |
JULIA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7505 S. MAIN ST |
Street Address 2 Of The Provider |
SUITE 290 |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770304520 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
4963 |
Number Of Medicare Beneficiaries |
472 |
Total Submitted Charge Amount |
644873.02 |
Total Medicare Allowed Amount |
148785.52 |
Total Medicare Payment Amount |
109014.51 |
Total Medicare Standardized Payment Amount |
103992.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
3887 |
Number Of Medicare Beneficiaries With Drug Services |
35 |
Total Drug Submitted ChargeAmount |
11398.02 |
Total Drug Medicare AllowedAmount |
8637.34 |
Total Drug Medicare PaymentAmount |
6771.64 |
Total Drug Medicare Standardized Payment Amount |
6771.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
1076 |
Number Of Medicare Beneficiaries With Medical Services |
472 |
Total Medical Submitted Charge Amount |
633475 |
Total Medical Medicare Allowed Amount |
140148.18 |
Total Medical Medicare Payment Amount |
102242.87 |
Total Medical Medicare Standardized Payment Amount |
97221.3 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
44 |
Number Of Beneficiaries Age 65 to 74 |
218 |
Number Of Beneficiaries Age 75 to 84 |
157 |
Number Of Beneficiaries Age Greater 84 |
53 |
Number Of Female Beneficiaries |
296 |
Number Of Male Beneficiaries |
176 |
Number Of Non Hispanic White Beneficiaries |
408 |
Number Of Black or African American Beneficiaries |
29 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
457 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
15 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.2481 |