National Provider Identifier [NPI]: |
1568510949 |
Last Name Of The Provider |
JONES |
First Name Of The Provider |
KENNETH |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
360 HIGHWAY 5 N |
Street Address 2 Of The Provider |
|
City Of The Provider |
MOUNTAIN HOME |
Zip Code Of The Provider |
726533039 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
5710 |
Number Of Medicare Beneficiaries |
1669 |
Total Submitted Charge Amount |
2002424.93 |
Total Medicare Allowed Amount |
935313.79 |
Total Medicare Payment Amount |
703518.95 |
Total Medicare Standardized Payment Amount |
760074.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
738 |
Number Of Medicare Beneficiaries With Drug Services |
83 |
Total Drug Submitted ChargeAmount |
277378.8 |
Total Drug Medicare AllowedAmount |
255283.26 |
Total Drug Medicare PaymentAmount |
199969.24 |
Total Drug Medicare Standardized Payment Amount |
199969.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
4972 |
Number Of Medicare Beneficiaries With Medical Services |
1669 |
Total Medical Submitted Charge Amount |
1725046.13 |
Total Medical Medicare Allowed Amount |
680030.53 |
Total Medical Medicare Payment Amount |
503549.71 |
Total Medical Medicare Standardized Payment Amount |
560104.84 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
58 |
Number Of Beneficiaries Age 65 to 74 |
602 |
Number Of Beneficiaries Age 75 to 84 |
711 |
Number Of Beneficiaries Age Greater 84 |
298 |
Number Of Female Beneficiaries |
1000 |
Number Of Male Beneficiaries |
669 |
Number Of Non Hispanic White Beneficiaries |
1648 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1459 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
210 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0461 |