National Provider Identifier [NPI]: |
1043342405 |
Last Name Of The Provider |
WRIGHT |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MC |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3655 MITCHELL ST # 690001 |
Street Address 2 Of The Provider |
|
City Of The Provider |
LORIS |
Zip Code Of The Provider |
295692827 |
State Code Of The Provider |
SC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
1460 |
Number Of Medicare Beneficiaries |
1233 |
Total Submitted Charge Amount |
1281003 |
Total Medicare Allowed Amount |
169035.92 |
Total Medicare Payment Amount |
130468.72 |
Total Medicare Standardized Payment Amount |
136165.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
1460 |
Number Of Medicare Beneficiaries With Medical Services |
1233 |
Total Medical Submitted Charge Amount |
1281003 |
Total Medical Medicare Allowed Amount |
169035.92 |
Total Medical Medicare Payment Amount |
130468.72 |
Total Medical Medicare Standardized Payment Amount |
136165.3 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
289 |
Number Of Beneficiaries Age 65 to 74 |
472 |
Number Of Beneficiaries Age 75 to 84 |
332 |
Number Of Beneficiaries Age Greater 84 |
140 |
Number Of Female Beneficiaries |
654 |
Number Of Male Beneficiaries |
579 |
Number Of Non Hispanic White Beneficiaries |
1039 |
Number Of Black or African American Beneficiaries |
170 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
936 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
297 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.4575 |