Medicare Facts for Dr. Thomas D. Jones, MD


National Provider Identifier [NPI]: 1518953033
Last Name Of The Provider JONES
First Name Of The Provider THOMAS
Middle Initial Of The Provider D
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1100 SOUTHFIELD DR
Street Address 2 Of The Provider SUITE 1310
City Of The Provider PLAINFIELD
Zip Code Of The Provider 461684498
State Code Of The Provider IN
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 31
Number Of Services 1564
Number Of Medicare Beneficiaries 463
Total Submitted Charge Amount 133204
Total Medicare Allowed Amount 98433.06
Total Medicare Payment Amount 65276.42
Total Medicare Standardized Payment Amount 69632.16
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 195
Number Of Medicare Beneficiaries With Drug Services 134
Total Drug Submitted ChargeAmount 7440
Total Drug Medicare AllowedAmount 4390.75
Total Drug Medicare PaymentAmount 4236.1
Total Drug Medicare Standardized Payment Amount 4236.1
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 26
Number Of Medical Services 1369
Number Of Medicare Beneficiaries With Medical Services 463
Total Medical Submitted Charge Amount 125764
Total Medical Medicare Allowed Amount 94042.31
Total Medical Medicare Payment Amount 61040.32
Total Medical Medicare Standardized Payment Amount 65396.06
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65 24
Number Of Beneficiaries Age 65 to 74 170
Number Of Beneficiaries Age 75 to 84 183
Number Of Beneficiaries Age Greater 84 86
Number Of Female Beneficiaries 256
Number Of Male Beneficiaries 207
Number Of Non Hispanic White Beneficiaries 452
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 0
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 438
Number Of Beneficiaries With Medicare Medicaid Entitlement 25
Percent Of With Atrial Fibrillation 9
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma
Percent Of With Cancer 11
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 13
Percent Of With Diabetes 24
Percent Of With Hyperlipidemia 50
Percent Of With Hypertension 55
Percent Of With Ischemic Heart Disease 33
Percent Of With Osteoporosis 5
Percent Of With Rheumatoid Arthritis Osteoarthritis 32
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 0.9897

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