National Provider Identifier [NPI]: |
1265437412 |
Last Name Of The Provider |
COX |
First Name Of The Provider |
MARILYN |
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 |
1300 MEDICAL DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
TALLAHASSEE |
Zip Code Of The Provider |
323084646 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiac Electrophysiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
122 |
Number Of Services |
26279 |
Number Of Medicare Beneficiaries |
1830 |
Total Submitted Charge Amount |
1034701.4 |
Total Medicare Allowed Amount |
531546.08 |
Total Medicare Payment Amount |
400136.64 |
Total Medicare Standardized Payment Amount |
405985.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
19502 |
Number Of Medicare Beneficiaries With Drug Services |
179 |
Total Drug Submitted ChargeAmount |
8775.9 |
Total Drug Medicare AllowedAmount |
3682.78 |
Total Drug Medicare PaymentAmount |
2850.41 |
Total Drug Medicare Standardized Payment Amount |
2850.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
121 |
Number Of Medical Services |
6777 |
Number Of Medicare Beneficiaries With Medical Services |
1828 |
Total Medical Submitted Charge Amount |
1025925.5 |
Total Medical Medicare Allowed Amount |
527863.3 |
Total Medical Medicare Payment Amount |
397286.23 |
Total Medical Medicare Standardized Payment Amount |
403135.46 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
157 |
Number Of Beneficiaries Age 65 to 74 |
517 |
Number Of Beneficiaries Age 75 to 84 |
709 |
Number Of Beneficiaries Age Greater 84 |
447 |
Number Of Female Beneficiaries |
975 |
Number Of Male Beneficiaries |
855 |
Number Of Non Hispanic White Beneficiaries |
1565 |
Number Of Black or African American Beneficiaries |
238 |
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 |
1522 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
308 |
Percent Of With Atrial Fibrillation |
42 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6073 |