National Provider Identifier [NPI]: |
1427278720 |
Last Name Of The Provider |
JONES |
First Name Of The Provider |
JENNIFER |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
101 RIVERSTONE VIS |
Street Address 2 Of The Provider |
SUITE 102 |
City Of The Provider |
BLUE RIDGE |
Zip Code Of The Provider |
305136648 |
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 |
119 |
Number Of Services |
270536 |
Number Of Medicare Beneficiaries |
659 |
Total Submitted Charge Amount |
9051549.51 |
Total Medicare Allowed Amount |
3036127.92 |
Total Medicare Payment Amount |
2353103.44 |
Total Medicare Standardized Payment Amount |
2362293.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
73 |
Number Of Drug Services |
254524 |
Number Of Medicare Beneficiaries With Drug Services |
294 |
Total Drug Submitted ChargeAmount |
7817715.01 |
Total Drug Medicare AllowedAmount |
2667271.57 |
Total Drug Medicare PaymentAmount |
2068319.99 |
Total Drug Medicare Standardized Payment Amount |
2068319.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
16012 |
Number Of Medicare Beneficiaries With Medical Services |
659 |
Total Medical Submitted Charge Amount |
1233834.5 |
Total Medical Medicare Allowed Amount |
368856.35 |
Total Medical Medicare Payment Amount |
284783.45 |
Total Medical Medicare Standardized Payment Amount |
293973.02 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
97 |
Number Of Beneficiaries Age 65 to 74 |
301 |
Number Of Beneficiaries Age 75 to 84 |
208 |
Number Of Beneficiaries Age Greater 84 |
53 |
Number Of Female Beneficiaries |
377 |
Number Of Male Beneficiaries |
282 |
Number Of Non Hispanic White Beneficiaries |
647 |
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
545 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
114 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
39 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.6559 |