National Provider Identifier [NPI]: |
1679550503 |
Last Name Of The Provider |
WRIGHT |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1351 W CENTRAL PARK AVE |
Street Address 2 Of The Provider |
SUITE 3300 |
City Of The Provider |
DAVENPORT |
Zip Code Of The Provider |
528041889 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
3903 |
Number Of Medicare Beneficiaries |
654 |
Total Submitted Charge Amount |
447802 |
Total Medicare Allowed Amount |
168369.17 |
Total Medicare Payment Amount |
123686.81 |
Total Medicare Standardized Payment Amount |
131106.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
2702 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
44322 |
Total Drug Medicare AllowedAmount |
25687.76 |
Total Drug Medicare PaymentAmount |
18907.9 |
Total Drug Medicare Standardized Payment Amount |
18907.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
1201 |
Number Of Medicare Beneficiaries With Medical Services |
654 |
Total Medical Submitted Charge Amount |
403480 |
Total Medical Medicare Allowed Amount |
142681.41 |
Total Medical Medicare Payment Amount |
104778.91 |
Total Medical Medicare Standardized Payment Amount |
112198.64 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
176 |
Number Of Beneficiaries Age 65 to 74 |
208 |
Number Of Beneficiaries Age 75 to 84 |
189 |
Number Of Beneficiaries Age Greater 84 |
81 |
Number Of Female Beneficiaries |
351 |
Number Of Male Beneficiaries |
303 |
Number Of Non Hispanic White Beneficiaries |
603 |
Number Of Black or African American Beneficiaries |
33 |
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 |
481 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
173 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
1.4551 |