JOSE A JIMENEZ CRNA NPI 1538369988
Nurse Anesthetist, Certified Registered in Las Vegas, NV
About JOSE A JIMENEZ CRNA
Jose Jimenez is a provider established in Las Vegas, Nevada and his medical specialization is Nurse Anesthetist, Certified Registered with more than 16 years of experience. The NPI number of this provider is 1538369988 and was assigned on July 2007. The practitioner's primary taxonomy code is 367500000X with license number 584134 (CA). The provider is registered as an individual and his NPI record was last updated 16 years ago.
| NPI | 1538369988 |
| Provider Name | JOSE A JIMENEZ CRNA |
| Location Address | 2931 N TENAYA WAY SUITE 102 LAS VEGAS, NV 89128 |
| Location Phone | (702) 388-8996 |
| Mailing Address | 2931 N TENAYA WAY SUITE 102 LAS VEGAS, NV 89128 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 2007 |
| Is Sole Proprietor? | No |
| Enumeration Date | 07-24-2007 |
| Last Update Date | 07-24-2007 |
Jose Jimenez is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 89.8, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The following quality measures were reported for this provider: participation in an ahrq-listed patient safety organization., post-anesthetic transfer of care measure: procedure room to a post anesthesia care unit (pacu), use of qcdr data for ongoing practice assessment and improvements and use of qcdr to promote standard practices, tools and processes in practice for improvement in care coordination.
The typical physician office visit costs for Medicare beneficiaries in this area are: $23.17 for a new patient copayment and $26.65 for an established patient copayment.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 367500000X |
| Classification | Nurse Anesthetist, Certified Registered |
| Type | Physician Assistants & Advanced Practice Nursing Providers |
| License No. | 584134 |
| License State | CA |
| Taxonomy Description | (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
Business Address
2931 N TENAYA WAY
SUITE 102
LAS VEGAS, NV
ZIP 89128
Phone: (702) 388-8996
Fax: (702) 387-8763
Mailing Address
2931 N TENAYA WAY
SUITE 102
LAS VEGAS, NV
ZIP 89128
Phone: (702) 388-8996
Fax: (702) 387-8763
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 89128 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99203 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $60.19 | $183.01 | $92.69 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $15.04 | $45.75 | $23.17 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $18.54 | $149 | $106.6 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.63 | $37.25 | $26.65 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
| MIPS Measure | Score Weight | Score | |
|---|---|---|---|
| Quality | 40% | 88 | |
|
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores. There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey. |
|||
| Promoting Interoperability (PI) | 25% | N/A | |
|
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores. The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. |
|||
| Improvement Activities | 15% | 40 | |
|
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. |
|||
| Cost | 20% | N/A | |
|
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services. Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. |
|||
| MIPS Final Score | - | 89.8 | |
| The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment. | |||
Quality Reporting
The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Participation in an AHRQ-listed patient safety organization. | Yes | N/A |
| Participation in an AHRQ-listed patient safety organization. | ||
| Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU) | 100% | 260 |
| Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of care elements is utilized | ||
| Use of QCDR data for ongoing practice assessment and improvements | Yes | N/A |
| Use of QCDR data, for ongoing practice assessment and improvements in patient safety. | ||
| Use of QCDR to promote standard practices, tools and processes in practice for improvement in care coordination | Yes | N/A |
| Participation in a Qualified Clinical Data Registry, demonstrating performance of activities that promote use of standard practices, tools and processes for quality improvement (e.g., documented preventative screening and vaccinations that can be shared across MIPS eligible clinician or groups). | ||
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 30Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:00731)
- 18Anesthesia for procedure on esophagus, stomach, small bowel, and/or large bowel using an endoscope (HCPCS:00813)
- 14Anesthesia for diagnostic examination of large bowel using an endoscope (HCPCS:00812)
- 13Anesthesia for procedure on large bowel using an endoscope (HCPCS:00811)
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jose Jimenez is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| ABRAZO ARROWHEAD HOSPITAL | 18701 NORTH 67TH AVENUE GLENDALE, AZ 85308 | (623) 561-1000 | Acute Care Hospitals | 30094 |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 3 | 8 | 3 | 6 | 9 | 9 | 8 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 6 | 8 | 6 | 6 | 18 | 9 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 6 + 8 + 6 + 6 + 1 + 8 + 9 + 1 + 6 + 24 = 82 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 90 - 82 = 8 | 8 | ||||||||
The NPI number 1538369988 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1619970621 | DR. BRADLEY SCOTT STRONG D.D.S. Individual | Dentist (General Practice) | 2931 N TENAYA WAY STE 200 LAS VEGAS, NV 89128 (702) 242-3800 |
| 1447232152 | DR. ANDRES F COSTAS M.D. Individual | Anesthesiology | 2931 N TENAYA WAY SUITE 102 LAS VEGAS, NV 89128 (702) 380-8111 |
| 1891777561 | DR. TERENCE M CONE M.D. Individual | Anesthesiology | 2931 N TENAYA WAY SUITE 102 LAS VEGAS, NV 89128 (702) 380-8111 |
| 1639151194 | DR. PAUL A LAFEMINA M.D. Individual | Anesthesiology | 2931 N TENAYA WAY SUITE 102 LAS VEGAS, NV 89128 (702) 380-8111 |
| 1699758847 | DR. ANN Y RHEE M.D. Individual | Anesthesiology | 2931 N TENAYA WAY SUITE 102 LAS VEGAS, NV 89128 (702) 380-0651 |
| 1821060856 | NICOLE JULIANA MOSS MD Individual | Obstetrics & Gynecology | 2931 N TENAYA WAY SUITE 204 LAS VEGAS, NV 89128 (702) 233-2123 |
| 1922112093 | TERRY AKERS D.C. Individual | Chiropractor | 2931 N TENAYA WAY SUITE 106 LAS VEGAS, NV 89128 (702) 822-1212 |
| 1003036617 | DR. ROBERT LLOYD ROUGHLEY DDS Individual | Dentist | 2931 N TENAYA WAY SUITTE 206 LAS VEGAS, NV 89128 (702) 240-6370 |
| 1184824435 | BRANDON WAYNE JONES CRNA Individual | Nurse Anesthetist, Certified Registered | 2931 N TENAYA WAY SUITE 102 LAS VEGAS, NV 89128 (702) 388-8996 |
| 1952589541 | NICOLE J. MOSS, M.D., LTD. Organization | Obstetrics & Gynecology | 2931 N TENAYA WAY SUITE 204 LAS VEGAS, NV 89128 (702) 233-2123 |
| 1053504159 | DR. MATTHEW TYLER RADDUE M.D. Individual | Anesthesiology | 2931 N TENAYA WAY SUITE 102 LAS VEGAS, NV 89128 (702) 332-2730 |
| 1467631838 | DR. CHERYL ANN BREWER M.D. Individual | Obstetrics & Gynecology (Gynecologic Oncology) | 2931 N TENAYA WAY SUITE 202 LAS VEGAS, NV 89128 (702) 802-3700 |
| 1699757146 | ELLIOT H KLAIN D.O. Individual | Anesthesiology | 2931 N TENAYA WAY SUITE 102 LAS VEGAS, NV 89128 (702) 380-8111 |
| 1962606988 | CB TURNER DENTAL PC Organization | Dentist | 2931 N TENAYA WAY SUITE 206 LAS VEGAS, NV 89128 (702) 240-6370 |
Frequently Asked Questions
What is Jose Jimenez CRNA NPI number?
The NPI number assigned to this healthcare provider is 1538369988, registered as an "individual" on July 24, 2007
Where is Jose Jimenez CRNA located?
The provider is located at 2931 N Tenaya Way Suite 102 Las Vegas, Nv 89128 and the phone number is (702) 388-8996
Which is Jose Jimenez CRNA specialty?
The provider's speciality is Nurse Anesthetist, Certified Registered
How many years of experience does Jose Jimenez CRNA have?
The provider has more than 16 years of experience.
What are Jose Jimenez CRNA Quality Ratings?
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.
How much is a visit to Jose Jimenez CRNA?
Medicare beneficiaries should expect a typical cost of $92.69 with an average copayment of $23.17 for new patient appointments. Established patients should expect a typical charge of $106.6 and an average copayment of 26.65. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Jose Jimenez CRNA?
The most common procedures or services performed by this practitioner are: Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope, Anesthesia for procedure on esophagus, stomach, small bowel, and/or large bowel using an endoscope, Anesthesia for diagnostic examination of large bowel using an endoscope and Anesthesia for procedure on large bowel using an endoscope.
Is Jose Jimenez CRNA affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: ABRAZO ARROWHEAD HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
The NPI record of Jose Jimenez CRNA was last updated on July 24, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.