National Provider Identifier [NPI]: |
1306043831 |
Last Name Of The Provider |
CARTWRIGHT |
First Name Of The Provider |
BRIAN |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1490 SE MAGNOLIA EXT |
Street Address 2 Of The Provider |
|
City Of The Provider |
OCALA |
Zip Code Of The Provider |
344714443 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
194 |
Number Of Services |
30425 |
Number Of Medicare Beneficiaries |
4691 |
Total Submitted Charge Amount |
2613395.6 |
Total Medicare Allowed Amount |
798788.65 |
Total Medicare Payment Amount |
656593.85 |
Total Medicare Standardized Payment Amount |
673851.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
22268 |
Number Of Medicare Beneficiaries With Drug Services |
331 |
Total Drug Submitted ChargeAmount |
63970 |
Total Drug Medicare AllowedAmount |
7941.81 |
Total Drug Medicare PaymentAmount |
6223.86 |
Total Drug Medicare Standardized Payment Amount |
6223.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
188 |
Number Of Medical Services |
8157 |
Number Of Medicare Beneficiaries With Medical Services |
4688 |
Total Medical Submitted Charge Amount |
2549425.6 |
Total Medical Medicare Allowed Amount |
790846.84 |
Total Medical Medicare Payment Amount |
650369.99 |
Total Medical Medicare Standardized Payment Amount |
667627.96 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
492 |
Number Of Beneficiaries Age 65 to 74 |
1959 |
Number Of Beneficiaries Age 75 to 84 |
1627 |
Number Of Beneficiaries Age Greater 84 |
613 |
Number Of Female Beneficiaries |
3473 |
Number Of Male Beneficiaries |
1218 |
Number Of Non Hispanic White Beneficiaries |
4102 |
Number Of Black or African American Beneficiaries |
319 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
191 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
45 |
Number Of Beneficiaries With Medicare Only Entitlement |
3983 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
708 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3921 |