National Provider Identifier [NPI]: |
1114991072 |
Last Name Of The Provider |
COX |
First Name Of The Provider |
HAROLD |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
470 TAYLOR RD |
Street Address 2 Of The Provider |
SUITE 310 |
City Of The Provider |
MONTGOMERY |
Zip Code Of The Provider |
361173563 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
112 |
Number Of Services |
3750 |
Number Of Medicare Beneficiaries |
839 |
Total Submitted Charge Amount |
510031.17 |
Total Medicare Allowed Amount |
256935.06 |
Total Medicare Payment Amount |
183189.75 |
Total Medicare Standardized Payment Amount |
198261.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
415 |
Number Of Medicare Beneficiaries With Drug Services |
168 |
Total Drug Submitted ChargeAmount |
3710.46 |
Total Drug Medicare AllowedAmount |
2377.29 |
Total Drug Medicare PaymentAmount |
2150.6 |
Total Drug Medicare Standardized Payment Amount |
2150.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
100 |
Number Of Medical Services |
3335 |
Number Of Medicare Beneficiaries With Medical Services |
839 |
Total Medical Submitted Charge Amount |
506320.71 |
Total Medical Medicare Allowed Amount |
254557.77 |
Total Medical Medicare Payment Amount |
181039.15 |
Total Medical Medicare Standardized Payment Amount |
196111.09 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
175 |
Number Of Beneficiaries Age 65 to 74 |
300 |
Number Of Beneficiaries Age 75 to 84 |
250 |
Number Of Beneficiaries Age Greater 84 |
114 |
Number Of Female Beneficiaries |
493 |
Number Of Male Beneficiaries |
346 |
Number Of Non Hispanic White Beneficiaries |
620 |
Number Of Black or African American Beneficiaries |
206 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
661 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
178 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3407 |