National Provider Identifier [NPI]: |
1306803796 |
Last Name Of The Provider |
COX |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5505 PEACHTREE DUNWOODY RD |
Street Address 2 Of The Provider |
STE 412 |
City Of The Provider |
ATLANTA |
Zip Code Of The Provider |
30342 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
8303 |
Number Of Medicare Beneficiaries |
1346 |
Total Submitted Charge Amount |
1097281 |
Total Medicare Allowed Amount |
550452.01 |
Total Medicare Payment Amount |
399961.17 |
Total Medicare Standardized Payment Amount |
393028.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
249 |
Number Of Medicare Beneficiaries With Drug Services |
131 |
Total Drug Submitted ChargeAmount |
13020 |
Total Drug Medicare AllowedAmount |
11412.16 |
Total Drug Medicare PaymentAmount |
8824.96 |
Total Drug Medicare Standardized Payment Amount |
8824.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
8054 |
Number Of Medicare Beneficiaries With Medical Services |
1346 |
Total Medical Submitted Charge Amount |
1084261 |
Total Medical Medicare Allowed Amount |
539039.85 |
Total Medical Medicare Payment Amount |
391136.21 |
Total Medical Medicare Standardized Payment Amount |
384203.89 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
696 |
Number Of Beneficiaries Age 75 to 84 |
445 |
Number Of Beneficiaries Age Greater 84 |
183 |
Number Of Female Beneficiaries |
675 |
Number Of Male Beneficiaries |
671 |
Number Of Non Hispanic White Beneficiaries |
1290 |
Number Of Black or African American Beneficiaries |
14 |
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 |
24 |
Number Of Beneficiaries With Medicare Only Entitlement |
1328 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
18 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
16 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8946 |