National Provider Identifier [NPI]: |
1659312775 |
Last Name Of The Provider |
COX |
First Name Of The Provider |
SAMMY |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6200 I-40 W |
Street Address 2 Of The Provider |
|
City Of The Provider |
AMARILLO |
Zip Code Of The Provider |
791062512 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
134 |
Number Of Services |
8587 |
Number Of Medicare Beneficiaries |
2366 |
Total Submitted Charge Amount |
2330941.56 |
Total Medicare Allowed Amount |
816743.95 |
Total Medicare Payment Amount |
619654.28 |
Total Medicare Standardized Payment Amount |
649915.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
461 |
Number Of Medicare Beneficiaries With Drug Services |
120 |
Total Drug Submitted ChargeAmount |
26904 |
Total Drug Medicare AllowedAmount |
22353.22 |
Total Drug Medicare PaymentAmount |
17524.88 |
Total Drug Medicare Standardized Payment Amount |
17524.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
129 |
Number Of Medical Services |
8126 |
Number Of Medicare Beneficiaries With Medical Services |
2366 |
Total Medical Submitted Charge Amount |
2304037.56 |
Total Medical Medicare Allowed Amount |
794390.73 |
Total Medical Medicare Payment Amount |
602129.4 |
Total Medical Medicare Standardized Payment Amount |
632390.45 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
157 |
Number Of Beneficiaries Age 65 to 74 |
757 |
Number Of Beneficiaries Age 75 to 84 |
972 |
Number Of Beneficiaries Age Greater 84 |
480 |
Number Of Female Beneficiaries |
1245 |
Number Of Male Beneficiaries |
1121 |
Number Of Non Hispanic White Beneficiaries |
2124 |
Number Of Black or African American Beneficiaries |
54 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
162 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
2096 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
270 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.491 |