National Provider Identifier [NPI]: |
1851322366 |
Last Name Of The Provider |
FISCHER-WRIGHT |
First Name Of The Provider |
RUTH |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4015 MERCANTILE DR |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
LAKE OSWEGO |
Zip Code Of The Provider |
970352552 |
State Code Of The Provider |
OR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
652 |
Number Of Medicare Beneficiaries |
205 |
Total Submitted Charge Amount |
157997 |
Total Medicare Allowed Amount |
52364.44 |
Total Medicare Payment Amount |
36060.85 |
Total Medicare Standardized Payment Amount |
35888.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
63 |
Number Of Medicare Beneficiaries With Drug Services |
44 |
Total Drug Submitted ChargeAmount |
3069 |
Total Drug Medicare AllowedAmount |
1933.61 |
Total Drug Medicare PaymentAmount |
1731.51 |
Total Drug Medicare Standardized Payment Amount |
1731.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
589 |
Number Of Medicare Beneficiaries With Medical Services |
205 |
Total Medical Submitted Charge Amount |
154928 |
Total Medical Medicare Allowed Amount |
50430.83 |
Total Medical Medicare Payment Amount |
34329.34 |
Total Medical Medicare Standardized Payment Amount |
34157.03 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
15 |
Number Of Beneficiaries Age 65 to 74 |
99 |
Number Of Beneficiaries Age 75 to 84 |
62 |
Number Of Beneficiaries Age Greater 84 |
29 |
Number Of Female Beneficiaries |
158 |
Number Of Male Beneficiaries |
47 |
Number Of Non Hispanic White Beneficiaries |
193 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
187 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
18 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
13 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
31 |
Percent Of With Hypertension |
41 |
Percent Of With Ischemic Heart Disease |
15 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9045 |