National Provider Identifier [NPI]: |
1215966544 |
Last Name Of The Provider |
COX |
First Name Of The Provider |
AMY |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
N.P. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
300 20TH AVE N |
Street Address 2 Of The Provider |
SUITE 301 |
City Of The Provider |
NASHVILLE |
Zip Code Of The Provider |
372032131 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
13985 |
Number Of Medicare Beneficiaries |
107 |
Total Submitted Charge Amount |
219825 |
Total Medicare Allowed Amount |
117328.95 |
Total Medicare Payment Amount |
92049.28 |
Total Medicare Standardized Payment Amount |
93941.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
32 |
Number Of Drug Services |
13463 |
Number Of Medicare Beneficiaries With Drug Services |
57 |
Total Drug Submitted ChargeAmount |
177674 |
Total Drug Medicare AllowedAmount |
104389.32 |
Total Drug Medicare PaymentAmount |
81636.01 |
Total Drug Medicare Standardized Payment Amount |
81636.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
522 |
Number Of Medicare Beneficiaries With Medical Services |
107 |
Total Medical Submitted Charge Amount |
42151 |
Total Medical Medicare Allowed Amount |
12939.63 |
Total Medical Medicare Payment Amount |
10413.27 |
Total Medical Medicare Standardized Payment Amount |
12305.62 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
50 |
Number Of Beneficiaries Age 75 to 84 |
33 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
61 |
Number Of Male Beneficiaries |
46 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
92 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
15 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
37 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
2.0013 |