National Provider Identifier [NPI]: |
1891794111 |
Last Name Of The Provider |
JONES |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
195 STOCK ST |
Street Address 2 Of The Provider |
SUITE 206 |
City Of The Provider |
HANOVER |
Zip Code Of The Provider |
173312266 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
66 |
Number Of Services |
5861 |
Number Of Medicare Beneficiaries |
776 |
Total Submitted Charge Amount |
529416.5 |
Total Medicare Allowed Amount |
286160.03 |
Total Medicare Payment Amount |
212524.15 |
Total Medicare Standardized Payment Amount |
220880.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
2155 |
Number Of Medicare Beneficiaries With Drug Services |
77 |
Total Drug Submitted ChargeAmount |
126054.5 |
Total Drug Medicare AllowedAmount |
61293.21 |
Total Drug Medicare PaymentAmount |
47860.77 |
Total Drug Medicare Standardized Payment Amount |
47860.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
3706 |
Number Of Medicare Beneficiaries With Medical Services |
776 |
Total Medical Submitted Charge Amount |
403362 |
Total Medical Medicare Allowed Amount |
224866.82 |
Total Medical Medicare Payment Amount |
164663.38 |
Total Medical Medicare Standardized Payment Amount |
173020.03 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
40 |
Number Of Beneficiaries Age 65 to 74 |
248 |
Number Of Beneficiaries Age 75 to 84 |
318 |
Number Of Beneficiaries Age Greater 84 |
170 |
Number Of Female Beneficiaries |
155 |
Number Of Male Beneficiaries |
621 |
Number Of Non Hispanic White Beneficiaries |
750 |
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 |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
739 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
37 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
25 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2713 |