National Provider Identifier [NPI]: |
1922126796 |
Last Name Of The Provider |
ROXO |
First Name Of The Provider |
ANA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1870 INDEPENDENCE SQ STE D |
Street Address 2 Of The Provider |
|
City Of The Provider |
DUNWOODY |
Zip Code Of The Provider |
303385155 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Anesthesiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
6 |
Number Of Services |
861 |
Number Of Medicare Beneficiaries |
801 |
Total Submitted Charge Amount |
418319.6 |
Total Medicare Allowed Amount |
76489.64 |
Total Medicare Payment Amount |
59672.73 |
Total Medicare Standardized Payment Amount |
60184.4 |
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 |
6 |
Number Of Medical Services |
861 |
Number Of Medicare Beneficiaries With Medical Services |
801 |
Total Medical Submitted Charge Amount |
418319.6 |
Total Medical Medicare Allowed Amount |
76489.64 |
Total Medical Medicare Payment Amount |
59672.73 |
Total Medical Medicare Standardized Payment Amount |
60184.4 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
39 |
Number Of Beneficiaries Age 65 to 74 |
419 |
Number Of Beneficiaries Age 75 to 84 |
271 |
Number Of Beneficiaries Age Greater 84 |
72 |
Number Of Female Beneficiaries |
480 |
Number Of Male Beneficiaries |
321 |
Number Of Non Hispanic White Beneficiaries |
687 |
Number Of Black or African American Beneficiaries |
75 |
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
741 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
60 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0179 |