Medicare Facts for Dr. Marcus A. Roux, MD


National Provider Identifier [NPI]: 1700820743
Last Name Of The Provider ROUX
First Name Of The Provider MARCUS
Middle Initial Of The Provider A
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1404 W JEFFERSON ST
Street Address 2 Of The Provider
City Of The Provider WAXAHACHIE
Zip Code Of The Provider 751652232
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 78
Number Of Services 6134
Number Of Medicare Beneficiaries 550
Total Submitted Charge Amount 1098397
Total Medicare Allowed Amount 312558.7
Total Medicare Payment Amount 230281.86
Total Medicare Standardized Payment Amount 225981.36
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 2
Number Of Drug Services 1442
Number Of Medicare Beneficiaries With Drug Services 170
Total Drug Submitted ChargeAmount 32604
Total Drug Medicare AllowedAmount 16211.18
Total Drug Medicare PaymentAmount 12617.66
Total Drug Medicare Standardized Payment Amount 12617.66
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 76
Number Of Medical Services 4692
Number Of Medicare Beneficiaries With Medical Services 550
Total Medical Submitted Charge Amount 1065793
Total Medical Medicare Allowed Amount 296347.52
Total Medical Medicare Payment Amount 217664.2
Total Medical Medicare Standardized Payment Amount 213363.7
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 37
Number Of Beneficiaries Age 65 to 74 254
Number Of Beneficiaries Age 75 to 84 200
Number Of Beneficiaries Age Greater 84 59
Number Of Female Beneficiaries 360
Number Of Male Beneficiaries 190
Number Of Non Hispanic White Beneficiaries 507
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 23
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 493
Number Of Beneficiaries With Medicare Medicaid Entitlement 57
Percent Of With Atrial Fibrillation 13
Percent Of With Alzheimers Disease or Dementia 15
Percent Of With Asthma 9
Percent Of With Cancer 9
Percent Of With Heart Failure 17
Percent Of With Chronic Kidney Disease 24
Percent Of With Chronic Obstructive Pulmonary Disease 9
Percent Of With Depression 23
Percent Of With Diabetes 31
Percent Of With Hyperlipidemia 54
Percent Of With Hypertension 68
Percent Of With Ischemic Heart Disease 33
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 72
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.0899

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