Medicare Facts for Dr. Michael B. Jones, MD


National Provider Identifier [NPI]: 1144497538
Last Name Of The Provider JONES
First Name Of The Provider MICHAEL
Middle Initial Of The Provider
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 200 CLINIC DR
Street Address 2 Of The Provider
City Of The Provider MADISONVILLE
Zip Code Of The Provider 424311661
State Code Of The Provider KY
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 59
Number Of Services 2659
Number Of Medicare Beneficiaries 192
Total Submitted Charge Amount 194769
Total Medicare Allowed Amount 107748.2
Total Medicare Payment Amount 77390.76
Total Medicare Standardized Payment Amount 84204.06
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 6
Number Of Drug Services 1127
Number Of Medicare Beneficiaries With Drug Services 115
Total Drug Submitted ChargeAmount 14870
Total Drug Medicare AllowedAmount 1650.46
Total Drug Medicare PaymentAmount 1108.93
Total Drug Medicare Standardized Payment Amount 1108.93
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 53
Number Of Medical Services 1532
Number Of Medicare Beneficiaries With Medical Services 192
Total Medical Submitted Charge Amount 179899
Total Medical Medicare Allowed Amount 106097.74
Total Medical Medicare Payment Amount 76281.83
Total Medical Medicare Standardized Payment Amount 83095.13
Average Age Of Beneficiaries 64
Number Of Beneficiaries Age Less65 81
Number Of Beneficiaries Age 65 to 74 62
Number Of Beneficiaries Age 75 to 84 36
Number Of Beneficiaries Age Greater 84 13
Number Of Female Beneficiaries 99
Number Of Male Beneficiaries 93
Number Of Non Hispanic White Beneficiaries
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 133
Number Of Beneficiaries With Medicare Medicaid Entitlement 59
Percent Of With Atrial Fibrillation 6
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure 16
Percent Of With Chronic Kidney Disease 15
Percent Of With Chronic Obstructive Pulmonary Disease 13
Percent Of With Depression 29
Percent Of With Diabetes 28
Percent Of With Hyperlipidemia 41
Percent Of With Hypertension 60
Percent Of With Ischemic Heart Disease 36
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 30
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9663

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