National Provider Identifier [NPI]: |
1528059227 |
Last Name Of The Provider |
WRIGHT-BROWNE |
First Name Of The Provider |
VANCE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
22395 EDGEWATER DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
PORT CHARLOTTE |
Zip Code Of The Provider |
339802012 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
225 |
Number Of Services |
536149 |
Number Of Medicare Beneficiaries |
2323 |
Total Submitted Charge Amount |
17834367 |
Total Medicare Allowed Amount |
6976747 |
Total Medicare Payment Amount |
5503160.78 |
Total Medicare Standardized Payment Amount |
5487808.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
102 |
Number Of Drug Services |
490770 |
Number Of Medicare Beneficiaries With Drug Services |
989 |
Total Drug Submitted ChargeAmount |
13503325 |
Total Drug Medicare AllowedAmount |
5399832.54 |
Total Drug Medicare PaymentAmount |
4226347.27 |
Total Drug Medicare Standardized Payment Amount |
4226347.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
123 |
Number Of Medical Services |
45379 |
Number Of Medicare Beneficiaries With Medical Services |
2322 |
Total Medical Submitted Charge Amount |
4331042 |
Total Medical Medicare Allowed Amount |
1576914.46 |
Total Medical Medicare Payment Amount |
1276813.51 |
Total Medical Medicare Standardized Payment Amount |
1261461.27 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
168 |
Number Of Beneficiaries Age 65 to 74 |
975 |
Number Of Beneficiaries Age 75 to 84 |
847 |
Number Of Beneficiaries Age Greater 84 |
333 |
Number Of Female Beneficiaries |
1415 |
Number Of Male Beneficiaries |
908 |
Number Of Non Hispanic White Beneficiaries |
2149 |
Number Of Black or African American Beneficiaries |
88 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
40 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
30 |
Number Of Beneficiaries With Medicare Only Entitlement |
2128 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
195 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
46 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.8943 |