| National Provider Identifier [NPI]: | 1720119589 |
| Last Name Of The Provider | COX |
| First Name Of The Provider | JOYCE |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | FNP |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 8685 S. OLD HWY 41 |
| Street Address 2 Of The Provider | CARLISLE MEDICAL CLINIC |
| City Of The Provider | CARLISLE |
| Zip Code Of The Provider | 478384114 |
| State Code Of The Provider | IN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Nurse Practitioner |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 13 |
| Number Of Services | 39 |
| Number Of Medicare Beneficiaries | 18 |
| Total Submitted Charge Amount | 1674.52 |
| Total Medicare Allowed Amount | 894.72 |
| Total Medicare Payment Amount | 735.63 |
| Total Medicare Standardized Payment Amount | 846.02 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 20 |
| Number Of Medicare Beneficiaries With Drug Services | 14 |
| Total Drug Submitted ChargeAmount | 544.52 |
| Total Drug Medicare AllowedAmount | 256.48 |
| Total Drug Medicare PaymentAmount | 246.87 |
| Total Drug Medicare Standardized Payment Amount | 246.87 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 8 |
| Number Of Medical Services | 19 |
| Number Of Medicare Beneficiaries With Medical Services | 12 |
| Total Medical Submitted Charge Amount | 1130 |
| Total Medical Medicare Allowed Amount | 638.24 |
| Total Medical Medicare Payment Amount | 488.76 |
| Total Medical Medicare Standardized Payment Amount | 599.15 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 0 |
| Number Of Beneficiaries Age 65 to 74 | |
| Number Of Beneficiaries Age 75 to 84 | |
| Number Of Beneficiaries Age Greater 84 | |
| Number Of Female Beneficiaries | |
| Number Of Male Beneficiaries | |
| Number Of Non Hispanic White Beneficiaries | 18 |
| Number Of Black or African American Beneficiaries | 0 |
| Number Of AsianPacific Islander Beneficiaries | 0 |
| Number Of Hispanic Beneficiaries | 0 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 0 |
| Number Of Beneficiaries With Medicare Only Entitlement | 18 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 0 |
| Percent Of With Atrial Fibrillation | |
| Percent Of With Alzheimers Disease or Dementia | 0 |
| Percent Of With Asthma | 0 |
| Percent Of With Cancer | 0 |
| Percent Of With Heart Failure | |
| Percent Of With Chronic Kidney Disease | |
| Percent Of With Chronic Obstructive Pulmonary Disease | |
| Percent Of With Depression | |
| Percent Of With Diabetes | |
| Percent Of With Hyperlipidemia | |
| Percent Of With Hypertension | 67 |
| Percent Of With Ischemic Heart Disease | |
| Percent Of With Osteoporosis | 0 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | |
| Percent Of With Schizophrenia Other PsychoticDisorders | 0 |
| Percent Of With Stroke | |
| Average HCC Risk Score Of Beneficiaries | 0.7884 |