National Provider Identifier [NPI]: |
1073718029 |
Last Name Of The Provider |
WRIGHT |
First Name Of The Provider |
AVERY |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4771 S CLEVELAND AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
FORT MYERS |
Zip Code Of The Provider |
339071317 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
1591 |
Number Of Medicare Beneficiaries |
965 |
Total Submitted Charge Amount |
226659 |
Total Medicare Allowed Amount |
95788.43 |
Total Medicare Payment Amount |
57753.66 |
Total Medicare Standardized Payment Amount |
55815.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
166 |
Number Of Medicare Beneficiaries With Drug Services |
79 |
Total Drug Submitted ChargeAmount |
5080 |
Total Drug Medicare AllowedAmount |
900.51 |
Total Drug Medicare PaymentAmount |
690.92 |
Total Drug Medicare Standardized Payment Amount |
690.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
1425 |
Number Of Medicare Beneficiaries With Medical Services |
964 |
Total Medical Submitted Charge Amount |
221579 |
Total Medical Medicare Allowed Amount |
94887.92 |
Total Medical Medicare Payment Amount |
57062.74 |
Total Medical Medicare Standardized Payment Amount |
55124.55 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
92 |
Number Of Beneficiaries Age 65 to 74 |
422 |
Number Of Beneficiaries Age 75 to 84 |
320 |
Number Of Beneficiaries Age Greater 84 |
131 |
Number Of Female Beneficiaries |
571 |
Number Of Male Beneficiaries |
394 |
Number Of Non Hispanic White Beneficiaries |
907 |
Number Of Black or African American Beneficiaries |
15 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
889 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
76 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9786 |