National Provider Identifier [NPI]: |
1346260361 |
Last Name Of The Provider |
WRIGHT |
First Name Of The Provider |
ANDREW |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10901 E 48TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
TULSA |
Zip Code Of The Provider |
741465830 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
147 |
Number Of Services |
9325 |
Number Of Medicare Beneficiaries |
732 |
Total Submitted Charge Amount |
860772.18 |
Total Medicare Allowed Amount |
246918.13 |
Total Medicare Payment Amount |
185575.68 |
Total Medicare Standardized Payment Amount |
202376.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
5014 |
Number Of Medicare Beneficiaries With Drug Services |
111 |
Total Drug Submitted ChargeAmount |
71899 |
Total Drug Medicare AllowedAmount |
19445.64 |
Total Drug Medicare PaymentAmount |
15142.63 |
Total Drug Medicare Standardized Payment Amount |
15142.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
133 |
Number Of Medical Services |
4311 |
Number Of Medicare Beneficiaries With Medical Services |
732 |
Total Medical Submitted Charge Amount |
788873.18 |
Total Medical Medicare Allowed Amount |
227472.49 |
Total Medical Medicare Payment Amount |
170433.05 |
Total Medical Medicare Standardized Payment Amount |
187233.38 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
101 |
Number Of Beneficiaries Age 65 to 74 |
335 |
Number Of Beneficiaries Age 75 to 84 |
225 |
Number Of Beneficiaries Age Greater 84 |
71 |
Number Of Female Beneficiaries |
176 |
Number Of Male Beneficiaries |
556 |
Number Of Non Hispanic White Beneficiaries |
625 |
Number Of Black or African American Beneficiaries |
39 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
52 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
635 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
97 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2695 |