National Provider Identifier [NPI]: |
1417059254 |
Last Name Of The Provider |
COX |
First Name Of The Provider |
DANIEL |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3114 ALCOA HWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
KNOXVILLE |
Zip Code Of The Provider |
379204791 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
67 |
Number Of Services |
1917 |
Number Of Medicare Beneficiaries |
533 |
Total Submitted Charge Amount |
230368 |
Total Medicare Allowed Amount |
113713 |
Total Medicare Payment Amount |
79446.58 |
Total Medicare Standardized Payment Amount |
87448.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
83 |
Number Of Medicare Beneficiaries With Drug Services |
57 |
Total Drug Submitted ChargeAmount |
2740 |
Total Drug Medicare AllowedAmount |
1245.71 |
Total Drug Medicare PaymentAmount |
1153.96 |
Total Drug Medicare Standardized Payment Amount |
1153.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
1834 |
Number Of Medicare Beneficiaries With Medical Services |
533 |
Total Medical Submitted Charge Amount |
227628 |
Total Medical Medicare Allowed Amount |
112467.29 |
Total Medical Medicare Payment Amount |
78292.62 |
Total Medical Medicare Standardized Payment Amount |
86294.65 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
210 |
Number Of Beneficiaries Age 65 to 74 |
180 |
Number Of Beneficiaries Age 75 to 84 |
109 |
Number Of Beneficiaries Age Greater 84 |
34 |
Number Of Female Beneficiaries |
255 |
Number Of Male Beneficiaries |
278 |
Number Of Non Hispanic White Beneficiaries |
502 |
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 |
371 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
162 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
22 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.157 |