| National Provider Identifier [NPI]: | 1487648861 |
| Last Name Of The Provider | JONES |
| First Name Of The Provider | MARK |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 522 MAIN ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | FRIENDSHIP |
| Zip Code Of The Provider | 380341966 |
| State Code Of The Provider | TN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 205 |
| Number Of Services | 11828 |
| Number Of Medicare Beneficiaries | 6248 |
| Total Submitted Charge Amount | 1346643.21 |
| Total Medicare Allowed Amount | 307378.5 |
| Total Medicare Payment Amount | 231257.94 |
| Total Medicare Standardized Payment Amount | 246773.79 |
| 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 | 205 |
| Number Of Medical Services | 11828 |
| Number Of Medicare Beneficiaries With Medical Services | 6248 |
| Total Medical Submitted Charge Amount | 1346643.21 |
| Total Medical Medicare Allowed Amount | 307378.5 |
| Total Medical Medicare Payment Amount | 231257.94 |
| Total Medical Medicare Standardized Payment Amount | 246773.79 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 1613 |
| Number Of Beneficiaries Age 65 to 74 | 2294 |
| Number Of Beneficiaries Age 75 to 84 | 1594 |
| Number Of Beneficiaries Age Greater 84 | 747 |
| Number Of Female Beneficiaries | 4034 |
| Number Of Male Beneficiaries | 2214 |
| Number Of Non Hispanic White Beneficiaries | 5353 |
| Number Of Black or African American Beneficiaries | 822 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 29 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 25 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3885 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2363 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 36 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 60 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 47 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 45 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.5087 |