National Provider Identifier [NPI]: |
1871575274 |
Last Name Of The Provider |
COX |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
929 N SAINT FRANCIS ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
WICHITA |
Zip Code Of The Provider |
672143821 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
232 |
Number Of Services |
8689 |
Number Of Medicare Beneficiaries |
5904 |
Total Submitted Charge Amount |
1009029 |
Total Medicare Allowed Amount |
332616.72 |
Total Medicare Payment Amount |
258428.47 |
Total Medicare Standardized Payment Amount |
271151.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
232 |
Number Of Medical Services |
8689 |
Number Of Medicare Beneficiaries With Medical Services |
5904 |
Total Medical Submitted Charge Amount |
1009029 |
Total Medical Medicare Allowed Amount |
332616.72 |
Total Medical Medicare Payment Amount |
258428.47 |
Total Medical Medicare Standardized Payment Amount |
271151.21 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
1151 |
Number Of Beneficiaries Age 65 to 74 |
1991 |
Number Of Beneficiaries Age 75 to 84 |
1810 |
Number Of Beneficiaries Age Greater 84 |
952 |
Number Of Female Beneficiaries |
3344 |
Number Of Male Beneficiaries |
2560 |
Number Of Non Hispanic White Beneficiaries |
5290 |
Number Of Black or African American Beneficiaries |
308 |
Number Of AsianPacific Islander Beneficiaries |
48 |
Number Of Hispanic Beneficiaries |
189 |
Number Of American Indian Alaska Native Beneficiaries |
31 |
Number Of Beneficiaries With Race Not Else where Classified |
38 |
Number Of Beneficiaries With Medicare Only Entitlement |
4546 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1358 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.687 |