National Provider Identifier [NPI]: |
1780652057 |
Last Name Of The Provider |
JONES |
First Name Of The Provider |
RUBEN |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
903 MISSISSIPPI DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
TUPELO |
Zip Code Of The Provider |
388040928 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
108 |
Number Of Services |
13328 |
Number Of Medicare Beneficiaries |
1667 |
Total Submitted Charge Amount |
656906 |
Total Medicare Allowed Amount |
383593.07 |
Total Medicare Payment Amount |
295051.21 |
Total Medicare Standardized Payment Amount |
325466.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
1103 |
Number Of Medicare Beneficiaries With Drug Services |
522 |
Total Drug Submitted ChargeAmount |
17335 |
Total Drug Medicare AllowedAmount |
13927.25 |
Total Drug Medicare PaymentAmount |
13204.85 |
Total Drug Medicare Standardized Payment Amount |
13204.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
94 |
Number Of Medical Services |
12225 |
Number Of Medicare Beneficiaries With Medical Services |
1667 |
Total Medical Submitted Charge Amount |
639571 |
Total Medical Medicare Allowed Amount |
369665.82 |
Total Medical Medicare Payment Amount |
281846.36 |
Total Medical Medicare Standardized Payment Amount |
312261.35 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
272 |
Number Of Beneficiaries Age 65 to 74 |
722 |
Number Of Beneficiaries Age 75 to 84 |
500 |
Number Of Beneficiaries Age Greater 84 |
173 |
Number Of Female Beneficiaries |
931 |
Number Of Male Beneficiaries |
736 |
Number Of Non Hispanic White Beneficiaries |
1437 |
Number Of Black or African American Beneficiaries |
213 |
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 |
1335 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
332 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8724 |