Medicare Facts for Dr. James E. Fox, MD


National Provider Identifier [NPI]: 1952393688
Last Name Of The Provider FOX
First Name Of The Provider JAMES
Middle Initial Of The Provider E
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 300 PROSPERITY RD
Street Address 2 Of The Provider SUITE 103
City Of The Provider KNOXVILLE
Zip Code Of The Provider 379234717
State Code Of The Provider TN
Country Code Of The Provider US
Provider Type Of The Provider Physical Medicine and Rehabilitation
Medicare Participation Indicator Y
Number Of HCPCS 51
Number Of Services 23078
Number Of Medicare Beneficiaries 428
Total Submitted Charge Amount 2173954
Total Medicare Allowed Amount 769135.69
Total Medicare Payment Amount 661027.72
Total Medicare Standardized Payment Amount 568619.53
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 221
Number Of Medicare Beneficiaries With Drug Services 21
Total Drug Submitted ChargeAmount 4435
Total Drug Medicare AllowedAmount 986.47
Total Drug Medicare PaymentAmount 737.85
Total Drug Medicare Standardized Payment Amount 737.85
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 48
Number Of Medical Services 22857
Number Of Medicare Beneficiaries With Medical Services 428
Total Medical Submitted Charge Amount 2169519
Total Medical Medicare Allowed Amount 768149.22
Total Medical Medicare Payment Amount 660289.87
Total Medical Medicare Standardized Payment Amount 567881.68
Average Age Of Beneficiaries 57
Number Of Beneficiaries Age Less65 294
Number Of Beneficiaries Age 65 to 74 107
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 245
Number Of Male Beneficiaries 183
Number Of Non Hispanic White Beneficiaries 406
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 191
Number Of Beneficiaries With Medicare Medicaid Entitlement 237
Percent Of With Atrial Fibrillation 4
Percent Of With Alzheimers Disease or Dementia 5
Percent Of With Asthma 10
Percent Of With Cancer 7
Percent Of With Heart Failure 15
Percent Of With Chronic Kidney Disease 17
Percent Of With Chronic Obstructive Pulmonary Disease 29
Percent Of With Depression 43
Percent Of With Diabetes 32
Percent Of With Hyperlipidemia 40
Percent Of With Hypertension 55
Percent Of With Ischemic Heart Disease 28
Percent Of With Osteoporosis 5
Percent Of With Rheumatoid Arthritis Osteoarthritis 63
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.4633

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