National Provider Identifier [NPI]: |
1225065642 |
Last Name Of The Provider |
COX |
First Name Of The Provider |
LARRY |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
616 CAMPUS DRIVE |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
ABINGDON |
Zip Code Of The Provider |
242100000 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
3763 |
Number Of Medicare Beneficiaries |
1283 |
Total Submitted Charge Amount |
680090.49 |
Total Medicare Allowed Amount |
234182.58 |
Total Medicare Payment Amount |
168568.28 |
Total Medicare Standardized Payment Amount |
173596.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
148 |
Number Of Medicare Beneficiaries With Drug Services |
37 |
Total Drug Submitted ChargeAmount |
27188 |
Total Drug Medicare AllowedAmount |
7828.49 |
Total Drug Medicare PaymentAmount |
6137.49 |
Total Drug Medicare Standardized Payment Amount |
6137.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
3615 |
Number Of Medicare Beneficiaries With Medical Services |
1282 |
Total Medical Submitted Charge Amount |
652902.49 |
Total Medical Medicare Allowed Amount |
226354.09 |
Total Medical Medicare Payment Amount |
162430.79 |
Total Medical Medicare Standardized Payment Amount |
167458.56 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
148 |
Number Of Beneficiaries Age 65 to 74 |
463 |
Number Of Beneficiaries Age 75 to 84 |
478 |
Number Of Beneficiaries Age Greater 84 |
194 |
Number Of Female Beneficiaries |
627 |
Number Of Male Beneficiaries |
656 |
Number Of Non Hispanic White Beneficiaries |
1264 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
1077 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
206 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3036 |