National Provider Identifier [NPI]: |
1407195126 |
Last Name Of The Provider |
COX |
First Name Of The Provider |
WENDY |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
APRN |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3151 STATE ROUTE 54 |
Street Address 2 Of The Provider |
|
City Of The Provider |
OWENSBORO |
Zip Code Of The Provider |
423032115 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
111 |
Number Of Services |
3692 |
Number Of Medicare Beneficiaries |
857 |
Total Submitted Charge Amount |
224124 |
Total Medicare Allowed Amount |
95568.31 |
Total Medicare Payment Amount |
67287.67 |
Total Medicare Standardized Payment Amount |
85644.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
902 |
Number Of Medicare Beneficiaries With Drug Services |
300 |
Total Drug Submitted ChargeAmount |
12271 |
Total Drug Medicare AllowedAmount |
1406.73 |
Total Drug Medicare PaymentAmount |
969.43 |
Total Drug Medicare Standardized Payment Amount |
969.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
100 |
Number Of Medical Services |
2790 |
Number Of Medicare Beneficiaries With Medical Services |
857 |
Total Medical Submitted Charge Amount |
211853 |
Total Medical Medicare Allowed Amount |
94161.58 |
Total Medical Medicare Payment Amount |
66318.24 |
Total Medical Medicare Standardized Payment Amount |
84674.59 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
131 |
Number Of Beneficiaries Age 65 to 74 |
326 |
Number Of Beneficiaries Age 75 to 84 |
251 |
Number Of Beneficiaries Age Greater 84 |
149 |
Number Of Female Beneficiaries |
563 |
Number Of Male Beneficiaries |
294 |
Number Of Non Hispanic White Beneficiaries |
825 |
Number Of Black or African American Beneficiaries |
19 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
718 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
139 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1323 |