| National Provider Identifier [NPI]: | 1679517585 |
| Last Name Of The Provider | FLETCHER |
| First Name Of The Provider | JEFFERSON |
| 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 | 970 LAKELAND DR |
| Street Address 2 Of The Provider | SUITE 61 |
| City Of The Provider | JACKSON |
| Zip Code Of The Provider | 392164635 |
| State Code Of The Provider | MS |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 78 |
| Number Of Services | 16584 |
| Number Of Medicare Beneficiaries | 4236 |
| Total Submitted Charge Amount | 1740810 |
| Total Medicare Allowed Amount | 487252.95 |
| Total Medicare Payment Amount | 357035.32 |
| Total Medicare Standardized Payment Amount | 381129.31 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 6053 |
| Number Of Medicare Beneficiaries With Drug Services | 138 |
| Total Drug Submitted ChargeAmount | 25475 |
| Total Drug Medicare AllowedAmount | 16838.94 |
| Total Drug Medicare PaymentAmount | 12837.17 |
| Total Drug Medicare Standardized Payment Amount | 12837.17 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 75 |
| Number Of Medical Services | 10531 |
| Number Of Medicare Beneficiaries With Medical Services | 4236 |
| Total Medical Submitted Charge Amount | 1715335 |
| Total Medical Medicare Allowed Amount | 470414.01 |
| Total Medical Medicare Payment Amount | 344198.15 |
| Total Medical Medicare Standardized Payment Amount | 368292.14 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 712 |
| Number Of Beneficiaries Age 65 to 74 | 1544 |
| Number Of Beneficiaries Age 75 to 84 | 1346 |
| Number Of Beneficiaries Age Greater 84 | 634 |
| Number Of Female Beneficiaries | 2336 |
| Number Of Male Beneficiaries | 1900 |
| Number Of Non Hispanic White Beneficiaries | 3068 |
| Number Of Black or African American Beneficiaries | 1118 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 14 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 21 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3153 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1083 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 34 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 21 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 59 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 1.6055 |