National Provider Identifier [NPI]: |
1366441040 |
Last Name Of The Provider |
BRIGHT |
First Name Of The Provider |
DONALD |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2720 CLARE AVE |
Street Address 2 Of The Provider |
SUITE C |
City Of The Provider |
BREMERTON |
Zip Code Of The Provider |
983103374 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
17368 |
Number Of Medicare Beneficiaries |
856 |
Total Submitted Charge Amount |
439525 |
Total Medicare Allowed Amount |
259243.74 |
Total Medicare Payment Amount |
190048.62 |
Total Medicare Standardized Payment Amount |
190732.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
15700 |
Number Of Medicare Beneficiaries With Drug Services |
31 |
Total Drug Submitted ChargeAmount |
110150 |
Total Drug Medicare AllowedAmount |
95554.3 |
Total Drug Medicare PaymentAmount |
74705.6 |
Total Drug Medicare Standardized Payment Amount |
74705.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
1668 |
Number Of Medicare Beneficiaries With Medical Services |
856 |
Total Medical Submitted Charge Amount |
329375 |
Total Medical Medicare Allowed Amount |
163689.44 |
Total Medical Medicare Payment Amount |
115343.02 |
Total Medical Medicare Standardized Payment Amount |
116027.12 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
138 |
Number Of Beneficiaries Age 65 to 74 |
328 |
Number Of Beneficiaries Age 75 to 84 |
284 |
Number Of Beneficiaries Age Greater 84 |
106 |
Number Of Female Beneficiaries |
493 |
Number Of Male Beneficiaries |
363 |
Number Of Non Hispanic White Beneficiaries |
800 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
709 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
147 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.3972 |