National Provider Identifier [NPI]: |
1972594208 |
Last Name Of The Provider |
FOX |
First Name Of The Provider |
ROY |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5050 POPLAR AVE |
Street Address 2 Of The Provider |
SUITE 800 |
City Of The Provider |
MEMPHIS |
Zip Code Of The Provider |
381570101 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
7458 |
Number Of Medicare Beneficiaries |
989 |
Total Submitted Charge Amount |
983890 |
Total Medicare Allowed Amount |
363595.76 |
Total Medicare Payment Amount |
277240.32 |
Total Medicare Standardized Payment Amount |
297459.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
2449 |
Number Of Medicare Beneficiaries With Drug Services |
64 |
Total Drug Submitted ChargeAmount |
3370 |
Total Drug Medicare AllowedAmount |
1414.93 |
Total Drug Medicare PaymentAmount |
1303.26 |
Total Drug Medicare Standardized Payment Amount |
1303.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
5009 |
Number Of Medicare Beneficiaries With Medical Services |
989 |
Total Medical Submitted Charge Amount |
980520 |
Total Medical Medicare Allowed Amount |
362180.83 |
Total Medical Medicare Payment Amount |
275937.06 |
Total Medical Medicare Standardized Payment Amount |
296156.52 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
147 |
Number Of Beneficiaries Age 65 to 74 |
361 |
Number Of Beneficiaries Age 75 to 84 |
352 |
Number Of Beneficiaries Age Greater 84 |
129 |
Number Of Female Beneficiaries |
496 |
Number Of Male Beneficiaries |
493 |
Number Of Non Hispanic White Beneficiaries |
794 |
Number Of Black or African American Beneficiaries |
175 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
794 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
195 |
Percent Of With Atrial Fibrillation |
37 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
34 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
62 |
Percent Of With Chronic Kidney Disease |
54 |
Percent Of With Chronic Obstructive Pulmonary Disease |
58 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.1932 |