National Provider Identifier [NPI]: |
1114996741 |
Last Name Of The Provider |
COX |
First Name Of The Provider |
JON |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1919 S WHEELING AVE |
Street Address 2 Of The Provider |
402 |
City Of The Provider |
TULSA |
Zip Code Of The Provider |
741045638 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
3138 |
Number Of Medicare Beneficiaries |
837 |
Total Submitted Charge Amount |
340934 |
Total Medicare Allowed Amount |
162990.92 |
Total Medicare Payment Amount |
108689.66 |
Total Medicare Standardized Payment Amount |
119824.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
278 |
Number Of Medicare Beneficiaries With Drug Services |
163 |
Total Drug Submitted ChargeAmount |
4750 |
Total Drug Medicare AllowedAmount |
2637.72 |
Total Drug Medicare PaymentAmount |
2491.26 |
Total Drug Medicare Standardized Payment Amount |
2491.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
2860 |
Number Of Medicare Beneficiaries With Medical Services |
837 |
Total Medical Submitted Charge Amount |
336184 |
Total Medical Medicare Allowed Amount |
160353.2 |
Total Medical Medicare Payment Amount |
106198.4 |
Total Medical Medicare Standardized Payment Amount |
117333.02 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
71 |
Number Of Beneficiaries Age 65 to 74 |
382 |
Number Of Beneficiaries Age 75 to 84 |
257 |
Number Of Beneficiaries Age Greater 84 |
127 |
Number Of Female Beneficiaries |
451 |
Number Of Male Beneficiaries |
386 |
Number Of Non Hispanic White Beneficiaries |
734 |
Number Of Black or African American Beneficiaries |
44 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
27 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
763 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
74 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
24 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0722 |