National Provider Identifier [NPI]: |
1922039809 |
Last Name Of The Provider |
WRIGHT |
First Name Of The Provider |
BRIAN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4788 FINLAY ST |
Street Address 2 Of The Provider |
SUITE 1 |
City Of The Provider |
RICHMOND |
Zip Code Of The Provider |
232312754 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
2848 |
Number Of Medicare Beneficiaries |
511 |
Total Submitted Charge Amount |
176621.41 |
Total Medicare Allowed Amount |
171246.03 |
Total Medicare Payment Amount |
121402.22 |
Total Medicare Standardized Payment Amount |
126639.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
41 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
410 |
Total Drug Medicare AllowedAmount |
124.33 |
Total Drug Medicare PaymentAmount |
95.34 |
Total Drug Medicare Standardized Payment Amount |
95.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
2807 |
Number Of Medicare Beneficiaries With Medical Services |
511 |
Total Medical Submitted Charge Amount |
176211.41 |
Total Medical Medicare Allowed Amount |
171121.7 |
Total Medical Medicare Payment Amount |
121306.88 |
Total Medical Medicare Standardized Payment Amount |
126543.91 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
96 |
Number Of Beneficiaries Age 65 to 74 |
187 |
Number Of Beneficiaries Age 75 to 84 |
141 |
Number Of Beneficiaries Age Greater 84 |
87 |
Number Of Female Beneficiaries |
327 |
Number Of Male Beneficiaries |
184 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
288 |
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 |
390 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
121 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
69 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5949 |