| National Provider Identifier [NPI]: | 1912943648 |
| Last Name Of The Provider | FOX |
| First Name Of The Provider | DAVID |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 7253 AMBASSADOR RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | BALTIMORE |
| Zip Code Of The Provider | 212442710 |
| State Code Of The Provider | MD |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 147 |
| Number Of Services | 51164 |
| Number Of Medicare Beneficiaries | 5083 |
| Total Submitted Charge Amount | 1986830.54 |
| Total Medicare Allowed Amount | 583006.7 |
| Total Medicare Payment Amount | 437017.12 |
| Total Medicare Standardized Payment Amount | 416659.25 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 44066 |
| Number Of Medicare Beneficiaries With Drug Services | 427 |
| Total Drug Submitted ChargeAmount | 10135.18 |
| Total Drug Medicare AllowedAmount | 8069.97 |
| Total Drug Medicare PaymentAmount | 5805.14 |
| Total Drug Medicare Standardized Payment Amount | 5805.14 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 146 |
| Number Of Medical Services | 7098 |
| Number Of Medicare Beneficiaries With Medical Services | 5083 |
| Total Medical Submitted Charge Amount | 1976695.36 |
| Total Medical Medicare Allowed Amount | 574936.73 |
| Total Medical Medicare Payment Amount | 431211.98 |
| Total Medical Medicare Standardized Payment Amount | 410854.11 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 545 |
| Number Of Beneficiaries Age 65 to 74 | 2154 |
| Number Of Beneficiaries Age 75 to 84 | 1500 |
| Number Of Beneficiaries Age Greater 84 | 884 |
| Number Of Female Beneficiaries | 3218 |
| Number Of Male Beneficiaries | 1865 |
| Number Of Non Hispanic White Beneficiaries | 4153 |
| Number Of Black or African American Beneficiaries | 724 |
| Number Of AsianPacific Islander Beneficiaries | 88 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 71 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4362 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 721 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 24 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 40 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.3287 |