National Provider Identifier [NPI]: |
1942410386 |
Last Name Of The Provider |
COX |
First Name Of The Provider |
JARED |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3485 INDEPENDENCE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
HOMEWOOD |
Zip Code Of The Provider |
352095603 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
106 |
Number Of Services |
4886 |
Number Of Medicare Beneficiaries |
511 |
Total Submitted Charge Amount |
413460.25 |
Total Medicare Allowed Amount |
165028.74 |
Total Medicare Payment Amount |
126559.12 |
Total Medicare Standardized Payment Amount |
136500.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
2418 |
Number Of Medicare Beneficiaries With Drug Services |
48 |
Total Drug Submitted ChargeAmount |
27310.25 |
Total Drug Medicare AllowedAmount |
8520.25 |
Total Drug Medicare PaymentAmount |
6555.57 |
Total Drug Medicare Standardized Payment Amount |
6555.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
92 |
Number Of Medical Services |
2468 |
Number Of Medicare Beneficiaries With Medical Services |
511 |
Total Medical Submitted Charge Amount |
386150 |
Total Medical Medicare Allowed Amount |
156508.49 |
Total Medical Medicare Payment Amount |
120003.55 |
Total Medical Medicare Standardized Payment Amount |
129945.42 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
68 |
Number Of Beneficiaries Age 65 to 74 |
214 |
Number Of Beneficiaries Age 75 to 84 |
153 |
Number Of Beneficiaries Age Greater 84 |
76 |
Number Of Female Beneficiaries |
164 |
Number Of Male Beneficiaries |
347 |
Number Of Non Hispanic White Beneficiaries |
472 |
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 |
461 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
50 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.3465 |