National Provider Identifier [NPI]: |
1487618278 |
Last Name Of The Provider |
COX |
First Name Of The Provider |
ANN |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
600 ELIZABETH ST |
Street Address 2 Of The Provider |
CHRISTUS SPOHN SHORELINE |
City Of The Provider |
CORPUS CHRISTI |
Zip Code Of The Provider |
784042235 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
186 |
Number Of Services |
6272 |
Number Of Medicare Beneficiaries |
2656 |
Total Submitted Charge Amount |
334587.5 |
Total Medicare Allowed Amount |
114939.84 |
Total Medicare Payment Amount |
88443.15 |
Total Medicare Standardized Payment Amount |
93750.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
2125 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
1062.5 |
Total Drug Medicare AllowedAmount |
447.65 |
Total Drug Medicare PaymentAmount |
339.19 |
Total Drug Medicare Standardized Payment Amount |
339.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
185 |
Number Of Medical Services |
4147 |
Number Of Medicare Beneficiaries With Medical Services |
2656 |
Total Medical Submitted Charge Amount |
333525 |
Total Medical Medicare Allowed Amount |
114492.19 |
Total Medical Medicare Payment Amount |
88103.96 |
Total Medical Medicare Standardized Payment Amount |
93411.45 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
642 |
Number Of Beneficiaries Age 65 to 74 |
845 |
Number Of Beneficiaries Age 75 to 84 |
730 |
Number Of Beneficiaries Age Greater 84 |
439 |
Number Of Female Beneficiaries |
1571 |
Number Of Male Beneficiaries |
1085 |
Number Of Non Hispanic White Beneficiaries |
1079 |
Number Of Black or African American Beneficiaries |
103 |
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
1441 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1441 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1215 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.3432 |