National Provider Identifier [NPI]: |
1275516106 |
Last Name Of The Provider |
RIGERT |
First Name Of The Provider |
TREY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1010 10TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
HOOD RIVER |
Zip Code Of The Provider |
970311565 |
State Code Of The Provider |
OR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
88 |
Number Of Services |
19007 |
Number Of Medicare Beneficiaries |
607 |
Total Submitted Charge Amount |
1610767.46 |
Total Medicare Allowed Amount |
600348.6 |
Total Medicare Payment Amount |
498029.48 |
Total Medicare Standardized Payment Amount |
454818.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
9563 |
Number Of Medicare Beneficiaries With Drug Services |
348 |
Total Drug Submitted ChargeAmount |
163963.1 |
Total Drug Medicare AllowedAmount |
19975.23 |
Total Drug Medicare PaymentAmount |
15564.64 |
Total Drug Medicare Standardized Payment Amount |
15564.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
80 |
Number Of Medical Services |
9444 |
Number Of Medicare Beneficiaries With Medical Services |
607 |
Total Medical Submitted Charge Amount |
1446804.36 |
Total Medical Medicare Allowed Amount |
580373.37 |
Total Medical Medicare Payment Amount |
482464.84 |
Total Medical Medicare Standardized Payment Amount |
439254.17 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
166 |
Number Of Beneficiaries Age 65 to 74 |
226 |
Number Of Beneficiaries Age 75 to 84 |
158 |
Number Of Beneficiaries Age Greater 84 |
57 |
Number Of Female Beneficiaries |
394 |
Number Of Male Beneficiaries |
213 |
Number Of Non Hispanic White Beneficiaries |
574 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
471 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
136 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
52 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
1.0174 |