| National Provider Identifier [NPI]: | 1093962334 |
| Last Name Of The Provider | FOX |
| First Name Of The Provider | MARSHAL |
| Middle Initial Of The Provider | T |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3300 MAIN ST |
| Street Address 2 Of The Provider | 2ND FLOOR |
| City Of The Provider | SPRINGFIELD |
| Zip Code Of The Provider | 011991002 |
| State Code Of The Provider | MA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 73 |
| Number Of Services | 6531 |
| Number Of Medicare Beneficiaries | 3996 |
| Total Submitted Charge Amount | 530328 |
| Total Medicare Allowed Amount | 241160.98 |
| Total Medicare Payment Amount | 183400.49 |
| Total Medicare Standardized Payment Amount | 180291.54 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 73 |
| Number Of Medical Services | 6531 |
| Number Of Medicare Beneficiaries With Medical Services | 3996 |
| Total Medical Submitted Charge Amount | 530328 |
| Total Medical Medicare Allowed Amount | 241160.98 |
| Total Medical Medicare Payment Amount | 183400.49 |
| Total Medical Medicare Standardized Payment Amount | 180291.54 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1029 |
| Number Of Beneficiaries Age 65 to 74 | 1266 |
| Number Of Beneficiaries Age 75 to 84 | 990 |
| Number Of Beneficiaries Age Greater 84 | 711 |
| Number Of Female Beneficiaries | 2005 |
| Number Of Male Beneficiaries | 1991 |
| Number Of Non Hispanic White Beneficiaries | 3107 |
| Number Of Black or African American Beneficiaries | 305 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 518 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 34 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2250 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1746 |
| Percent Of With Atrial Fibrillation | 28 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 18 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 48 |
| Percent Of With Chronic Kidney Disease | 51 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 41 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 62 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 2.1453 |