National Provider Identifier [NPI]: |
1013951078 |
Last Name Of The Provider |
COX |
First Name Of The Provider |
TED |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
191 CARAWAY DR |
Street Address 2 Of The Provider |
SUITE A-1 |
City Of The Provider |
WINFIELD |
Zip Code Of The Provider |
355945067 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Obstetrics/Gynecology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
16252 |
Number Of Medicare Beneficiaries |
427 |
Total Submitted Charge Amount |
458668 |
Total Medicare Allowed Amount |
339606.8 |
Total Medicare Payment Amount |
262036.15 |
Total Medicare Standardized Payment Amount |
274253.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
13897 |
Number Of Medicare Beneficiaries With Drug Services |
149 |
Total Drug Submitted ChargeAmount |
212770 |
Total Drug Medicare AllowedAmount |
197944.09 |
Total Drug Medicare PaymentAmount |
151944.88 |
Total Drug Medicare Standardized Payment Amount |
151944.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
2355 |
Number Of Medicare Beneficiaries With Medical Services |
426 |
Total Medical Submitted Charge Amount |
245898 |
Total Medical Medicare Allowed Amount |
141662.71 |
Total Medical Medicare Payment Amount |
110091.27 |
Total Medical Medicare Standardized Payment Amount |
122308.43 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
110 |
Number Of Beneficiaries Age 65 to 74 |
161 |
Number Of Beneficiaries Age 75 to 84 |
120 |
Number Of Beneficiaries Age Greater 84 |
36 |
Number Of Female Beneficiaries |
427 |
Number Of Male Beneficiaries |
0 |
Number Of Non Hispanic White Beneficiaries |
394 |
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 |
283 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
144 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
28 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9549 |