National Provider Identifier [NPI]: |
1316981996 |
Last Name Of The Provider |
COX |
First Name Of The Provider |
JOSEPH |
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 |
1673 MASON AVE |
Street Address 2 Of The Provider |
SUITE# 305 |
City Of The Provider |
DAYTONA BEACH |
Zip Code Of The Provider |
321175515 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
202 |
Number Of Services |
18031.5 |
Number Of Medicare Beneficiaries |
3486 |
Total Submitted Charge Amount |
1442192.44 |
Total Medicare Allowed Amount |
436970.11 |
Total Medicare Payment Amount |
341991.09 |
Total Medicare Standardized Payment Amount |
353031.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
12406.5 |
Number Of Medicare Beneficiaries With Drug Services |
202 |
Total Drug Submitted ChargeAmount |
17827.38 |
Total Drug Medicare AllowedAmount |
3632.25 |
Total Drug Medicare PaymentAmount |
2804.83 |
Total Drug Medicare Standardized Payment Amount |
2804.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
192 |
Number Of Medical Services |
5625 |
Number Of Medicare Beneficiaries With Medical Services |
3484 |
Total Medical Submitted Charge Amount |
1424365.06 |
Total Medical Medicare Allowed Amount |
433337.86 |
Total Medical Medicare Payment Amount |
339186.26 |
Total Medical Medicare Standardized Payment Amount |
350226.7 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
548 |
Number Of Beneficiaries Age 65 to 74 |
1349 |
Number Of Beneficiaries Age 75 to 84 |
1014 |
Number Of Beneficiaries Age Greater 84 |
575 |
Number Of Female Beneficiaries |
2210 |
Number Of Male Beneficiaries |
1276 |
Number Of Non Hispanic White Beneficiaries |
3059 |
Number Of Black or African American Beneficiaries |
295 |
Number Of AsianPacific Islander Beneficiaries |
27 |
Number Of Hispanic Beneficiaries |
79 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2757 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
729 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.5184 |