Medicare Facts for Ernest Jones


National Provider Identifier [NPI]: 1891705661
Last Name Of The Provider JONES
First Name Of The Provider ERNEST
Middle Initial Of The Provider
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 931 OAK PARK BLVD
Street Address 2 Of The Provider SUITE 101
City Of The Provider PISMO BEACH
Zip Code Of The Provider 934493402
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 49
Number Of Services 3106
Number Of Medicare Beneficiaries 556
Total Submitted Charge Amount 372047
Total Medicare Allowed Amount 248138.09
Total Medicare Payment Amount 171246.95
Total Medicare Standardized Payment Amount 165040.3
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 7
Number Of Drug Services 230
Number Of Medicare Beneficiaries With Drug Services 191
Total Drug Submitted ChargeAmount 7733
Total Drug Medicare AllowedAmount 3966.27
Total Drug Medicare PaymentAmount 3825.97
Total Drug Medicare Standardized Payment Amount 3825.97
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 42
Number Of Medical Services 2876
Number Of Medicare Beneficiaries With Medical Services 556
Total Medical Submitted Charge Amount 364314
Total Medical Medicare Allowed Amount 244171.82
Total Medical Medicare Payment Amount 167420.98
Total Medical Medicare Standardized Payment Amount 161214.33
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65 18
Number Of Beneficiaries Age 65 to 74 254
Number Of Beneficiaries Age 75 to 84 190
Number Of Beneficiaries Age Greater 84 94
Number Of Female Beneficiaries 295
Number Of Male Beneficiaries 261
Number Of Non Hispanic White Beneficiaries 505
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 27
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified 11
Number Of Beneficiaries With Medicare Only Entitlement
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 5
Percent Of With Cancer 9
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 26
Percent Of With Chronic Obstructive Pulmonary Disease 10
Percent Of With Depression 13
Percent Of With Diabetes 21
Percent Of With Hyperlipidemia 67
Percent Of With Hypertension 72
Percent Of With Ischemic Heart Disease 21
Percent Of With Osteoporosis 5
Percent Of With Rheumatoid Arthritis Osteoarthritis 35
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 3
Average HCC Risk Score Of Beneficiaries 0.9821

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