National Provider Identifier [NPI]: |
1881660124 |
Last Name Of The Provider |
COX |
First Name Of The Provider |
LAURIE |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
HCR 67 RT 35 |
Street Address 2 Of The Provider |
BOX 6 A |
City Of The Provider |
MIFFLIN |
Zip Code Of The Provider |
170589801 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
67 |
Number Of Services |
3099 |
Number Of Medicare Beneficiaries |
490 |
Total Submitted Charge Amount |
296680 |
Total Medicare Allowed Amount |
133515.25 |
Total Medicare Payment Amount |
94101.6 |
Total Medicare Standardized Payment Amount |
99128.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
378 |
Number Of Medicare Beneficiaries With Drug Services |
183 |
Total Drug Submitted ChargeAmount |
10368 |
Total Drug Medicare AllowedAmount |
4982.16 |
Total Drug Medicare PaymentAmount |
4623.66 |
Total Drug Medicare Standardized Payment Amount |
4623.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
2721 |
Number Of Medicare Beneficiaries With Medical Services |
490 |
Total Medical Submitted Charge Amount |
286312 |
Total Medical Medicare Allowed Amount |
128533.09 |
Total Medical Medicare Payment Amount |
89477.94 |
Total Medical Medicare Standardized Payment Amount |
94505.33 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
75 |
Number Of Beneficiaries Age 65 to 74 |
215 |
Number Of Beneficiaries Age 75 to 84 |
128 |
Number Of Beneficiaries Age Greater 84 |
72 |
Number Of Female Beneficiaries |
291 |
Number Of Male Beneficiaries |
199 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
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 |
350 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
140 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.5043 |