National Provider Identifier [NPI]: |
1952329385 |
Last Name Of The Provider |
JONES |
First Name Of The Provider |
MITCHELL |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2500 STARLING ST |
Street Address 2 Of The Provider |
SUITE #404 |
City Of The Provider |
BRUNSWICK |
Zip Code Of The Provider |
315204219 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
89 |
Number Of Services |
6422 |
Number Of Medicare Beneficiaries |
1324 |
Total Submitted Charge Amount |
903733 |
Total Medicare Allowed Amount |
431678.19 |
Total Medicare Payment Amount |
310106.13 |
Total Medicare Standardized Payment Amount |
330714.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
135 |
Number Of Medicare Beneficiaries With Drug Services |
116 |
Total Drug Submitted ChargeAmount |
6088 |
Total Drug Medicare AllowedAmount |
5527.47 |
Total Drug Medicare PaymentAmount |
5400 |
Total Drug Medicare Standardized Payment Amount |
5400 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
84 |
Number Of Medical Services |
6287 |
Number Of Medicare Beneficiaries With Medical Services |
1323 |
Total Medical Submitted Charge Amount |
897645 |
Total Medical Medicare Allowed Amount |
426150.72 |
Total Medical Medicare Payment Amount |
304706.13 |
Total Medical Medicare Standardized Payment Amount |
325314.71 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
140 |
Number Of Beneficiaries Age 65 to 74 |
521 |
Number Of Beneficiaries Age 75 to 84 |
459 |
Number Of Beneficiaries Age Greater 84 |
204 |
Number Of Female Beneficiaries |
647 |
Number Of Male Beneficiaries |
677 |
Number Of Non Hispanic White Beneficiaries |
1160 |
Number Of Black or African American Beneficiaries |
133 |
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 |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
1116 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
208 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.3742 |