National Provider Identifier [NPI]: |
1003057068 |
Last Name Of The Provider |
COX |
First Name Of The Provider |
ALAN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
119 BOONE RIDGE DR |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
JOHNSON CITY |
Zip Code Of The Provider |
376154998 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
2678 |
Number Of Medicare Beneficiaries |
669 |
Total Submitted Charge Amount |
464914 |
Total Medicare Allowed Amount |
211633.79 |
Total Medicare Payment Amount |
162952.23 |
Total Medicare Standardized Payment Amount |
172502.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
74 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
825 |
Total Drug Medicare AllowedAmount |
93.86 |
Total Drug Medicare PaymentAmount |
50.01 |
Total Drug Medicare Standardized Payment Amount |
50.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
2604 |
Number Of Medicare Beneficiaries With Medical Services |
669 |
Total Medical Submitted Charge Amount |
464089 |
Total Medical Medicare Allowed Amount |
211539.93 |
Total Medical Medicare Payment Amount |
162902.22 |
Total Medical Medicare Standardized Payment Amount |
172452.06 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
102 |
Number Of Beneficiaries Age 65 to 74 |
132 |
Number Of Beneficiaries Age 75 to 84 |
215 |
Number Of Beneficiaries Age Greater 84 |
220 |
Number Of Female Beneficiaries |
424 |
Number Of Male Beneficiaries |
245 |
Number Of Non Hispanic White Beneficiaries |
651 |
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 |
218 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
451 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
64 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
51 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
29 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.9836 |