National Provider Identifier [NPI]: |
1518953900 |
Last Name Of The Provider |
JONES |
First Name Of The Provider |
WAYNE |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
25442 AL HIGHWAY 127 |
Street Address 2 Of The Provider |
|
City Of The Provider |
ELKMONT |
Zip Code Of The Provider |
356206608 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
120 |
Number Of Services |
8832 |
Number Of Medicare Beneficiaries |
2717 |
Total Submitted Charge Amount |
1315831.3 |
Total Medicare Allowed Amount |
607289.7 |
Total Medicare Payment Amount |
430837.95 |
Total Medicare Standardized Payment Amount |
470930.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
1439 |
Number Of Medicare Beneficiaries With Drug Services |
308 |
Total Drug Submitted ChargeAmount |
43588 |
Total Drug Medicare AllowedAmount |
2805.39 |
Total Drug Medicare PaymentAmount |
2239.17 |
Total Drug Medicare Standardized Payment Amount |
2239.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
106 |
Number Of Medical Services |
7393 |
Number Of Medicare Beneficiaries With Medical Services |
2717 |
Total Medical Submitted Charge Amount |
1272243.3 |
Total Medical Medicare Allowed Amount |
604484.31 |
Total Medical Medicare Payment Amount |
428598.78 |
Total Medical Medicare Standardized Payment Amount |
468691.82 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
849 |
Number Of Beneficiaries Age 65 to 74 |
867 |
Number Of Beneficiaries Age 75 to 84 |
625 |
Number Of Beneficiaries Age Greater 84 |
376 |
Number Of Female Beneficiaries |
1593 |
Number Of Male Beneficiaries |
1124 |
Number Of Non Hispanic White Beneficiaries |
2272 |
Number Of Black or African American Beneficiaries |
392 |
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
1870 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
847 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.3495 |