National Provider Identifier [NPI]: |
1962443051 |
Last Name Of The Provider |
JONAS |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
105 COLLIER RD NW |
Street Address 2 Of The Provider |
SUITE 3040 |
City Of The Provider |
ATLANTA |
Zip Code Of The Provider |
303091710 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
112 |
Number Of Services |
91829 |
Number Of Medicare Beneficiaries |
710 |
Total Submitted Charge Amount |
5292262 |
Total Medicare Allowed Amount |
1798049.34 |
Total Medicare Payment Amount |
1366047.21 |
Total Medicare Standardized Payment Amount |
1361731.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
59 |
Number Of Drug Services |
82393 |
Number Of Medicare Beneficiaries With Drug Services |
127 |
Total Drug Submitted ChargeAmount |
4060402 |
Total Drug Medicare AllowedAmount |
1401446.24 |
Total Drug Medicare PaymentAmount |
1065422.03 |
Total Drug Medicare Standardized Payment Amount |
1065422.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
9436 |
Number Of Medicare Beneficiaries With Medical Services |
710 |
Total Medical Submitted Charge Amount |
1231860 |
Total Medical Medicare Allowed Amount |
396603.1 |
Total Medical Medicare Payment Amount |
300625.18 |
Total Medical Medicare Standardized Payment Amount |
296309.57 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
96 |
Number Of Beneficiaries Age 65 to 74 |
331 |
Number Of Beneficiaries Age 75 to 84 |
215 |
Number Of Beneficiaries Age Greater 84 |
68 |
Number Of Female Beneficiaries |
384 |
Number Of Male Beneficiaries |
326 |
Number Of Non Hispanic White Beneficiaries |
479 |
Number Of Black or African American Beneficiaries |
202 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
609 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
101 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
44 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
2.0583 |