National Provider Identifier [NPI]: |
1598775918 |
Last Name Of The Provider |
FOX |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1540 S TAMIAMI TRL |
Street Address 2 Of The Provider |
SUITE 401 |
City Of The Provider |
SARASOTA |
Zip Code Of The Provider |
342392921 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
6107 |
Number Of Medicare Beneficiaries |
2058 |
Total Submitted Charge Amount |
2011161 |
Total Medicare Allowed Amount |
699224.45 |
Total Medicare Payment Amount |
532062.34 |
Total Medicare Standardized Payment Amount |
540581.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
373 |
Number Of Medicare Beneficiaries With Drug Services |
91 |
Total Drug Submitted ChargeAmount |
27309 |
Total Drug Medicare AllowedAmount |
19253.83 |
Total Drug Medicare PaymentAmount |
14973.12 |
Total Drug Medicare Standardized Payment Amount |
14973.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
5734 |
Number Of Medicare Beneficiaries With Medical Services |
2058 |
Total Medical Submitted Charge Amount |
1983852 |
Total Medical Medicare Allowed Amount |
679970.62 |
Total Medical Medicare Payment Amount |
517089.22 |
Total Medical Medicare Standardized Payment Amount |
525608.49 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
68 |
Number Of Beneficiaries Age 65 to 74 |
750 |
Number Of Beneficiaries Age 75 to 84 |
834 |
Number Of Beneficiaries Age Greater 84 |
406 |
Number Of Female Beneficiaries |
924 |
Number Of Male Beneficiaries |
1134 |
Number Of Non Hispanic White Beneficiaries |
1977 |
Number Of Black or African American Beneficiaries |
29 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1956 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
102 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.3737 |