National Provider Identifier [NPI]: |
1508855545 |
Last Name Of The Provider |
JONES |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3501 N SCOTTSDALE RD |
Street Address 2 Of The Provider |
SUITE 130 |
City Of The Provider |
SCOTTSDALE |
Zip Code Of The Provider |
852515648 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
136 |
Number Of Services |
47794 |
Number Of Medicare Beneficiaries |
2891 |
Total Submitted Charge Amount |
2490067.2 |
Total Medicare Allowed Amount |
581456.84 |
Total Medicare Payment Amount |
433956.61 |
Total Medicare Standardized Payment Amount |
455154.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
42697 |
Number Of Medicare Beneficiaries With Drug Services |
496 |
Total Drug Submitted ChargeAmount |
85561.2 |
Total Drug Medicare AllowedAmount |
14666.42 |
Total Drug Medicare PaymentAmount |
11472.57 |
Total Drug Medicare Standardized Payment Amount |
11472.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
133 |
Number Of Medical Services |
5097 |
Number Of Medicare Beneficiaries With Medical Services |
2889 |
Total Medical Submitted Charge Amount |
2404506 |
Total Medical Medicare Allowed Amount |
566790.42 |
Total Medical Medicare Payment Amount |
422484.04 |
Total Medical Medicare Standardized Payment Amount |
443681.82 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
182 |
Number Of Beneficiaries Age 65 to 74 |
1324 |
Number Of Beneficiaries Age 75 to 84 |
977 |
Number Of Beneficiaries Age Greater 84 |
408 |
Number Of Female Beneficiaries |
1626 |
Number Of Male Beneficiaries |
1265 |
Number Of Non Hispanic White Beneficiaries |
2689 |
Number Of Black or African American Beneficiaries |
34 |
Number Of AsianPacific Islander Beneficiaries |
26 |
Number Of Hispanic Beneficiaries |
68 |
Number Of American Indian Alaska Native Beneficiaries |
28 |
Number Of Beneficiaries With Race Not Else where Classified |
46 |
Number Of Beneficiaries With Medicare Only Entitlement |
2722 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
169 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.3168 |