| National Provider Identifier [NPI]: | 1154334597 |
| Last Name Of The Provider | FOXX |
| First Name Of The Provider | STEPHEN |
| 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 | 100 SENTARA CIRCLE |
| Street Address 2 Of The Provider | SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER |
| City Of The Provider | WILLIAMSBURG |
| Zip Code Of The Provider | 23188 |
| State Code Of The Provider | VA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 196 |
| Number Of Services | 5682 |
| Number Of Medicare Beneficiaries | 4119 |
| Total Submitted Charge Amount | 627533 |
| Total Medicare Allowed Amount | 190779.97 |
| Total Medicare Payment Amount | 141985.48 |
| Total Medicare Standardized Payment Amount | 146983.73 |
| 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 | 196 |
| Number Of Medical Services | 5682 |
| Number Of Medicare Beneficiaries With Medical Services | 4119 |
| Total Medical Submitted Charge Amount | 627533 |
| Total Medical Medicare Allowed Amount | 190779.97 |
| Total Medical Medicare Payment Amount | 141985.48 |
| Total Medical Medicare Standardized Payment Amount | 146983.73 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 448 |
| Number Of Beneficiaries Age 65 to 74 | 1639 |
| Number Of Beneficiaries Age 75 to 84 | 1380 |
| Number Of Beneficiaries Age Greater 84 | 652 |
| Number Of Female Beneficiaries | 2427 |
| Number Of Male Beneficiaries | 1692 |
| Number Of Non Hispanic White Beneficiaries | 3021 |
| Number Of Black or African American Beneficiaries | 966 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 48 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 48 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3610 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 509 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 26 |
| Percent Of With Chronic Kidney Disease | 30 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 38 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.5617 |