National Provider Identifier [NPI]: |
1770573552 |
Last Name Of The Provider |
WRIGHT |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6572 RIVER PARK DR |
Street Address 2 Of The Provider |
SUITE 102 |
City Of The Provider |
RIVERDALE |
Zip Code Of The Provider |
302742214 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
2080 |
Number Of Medicare Beneficiaries |
793 |
Total Submitted Charge Amount |
258142.16 |
Total Medicare Allowed Amount |
169400.79 |
Total Medicare Payment Amount |
125036.13 |
Total Medicare Standardized Payment Amount |
123942.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
50 |
Number Of Medicare Beneficiaries With Drug Services |
31 |
Total Drug Submitted ChargeAmount |
1052 |
Total Drug Medicare AllowedAmount |
391.18 |
Total Drug Medicare PaymentAmount |
371.56 |
Total Drug Medicare Standardized Payment Amount |
371.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
2030 |
Number Of Medicare Beneficiaries With Medical Services |
793 |
Total Medical Submitted Charge Amount |
257090.16 |
Total Medical Medicare Allowed Amount |
169009.61 |
Total Medical Medicare Payment Amount |
124664.57 |
Total Medical Medicare Standardized Payment Amount |
123570.6 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
192 |
Number Of Beneficiaries Age 65 to 74 |
255 |
Number Of Beneficiaries Age 75 to 84 |
205 |
Number Of Beneficiaries Age Greater 84 |
141 |
Number Of Female Beneficiaries |
476 |
Number Of Male Beneficiaries |
317 |
Number Of Non Hispanic White Beneficiaries |
269 |
Number Of Black or African American Beneficiaries |
438 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
48 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
300 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
493 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
45 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
2.4172 |