National Provider Identifier [NPI]: |
1144291626 |
Last Name Of The Provider |
BRIGHT |
First Name Of The Provider |
ADAM |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1950 ARLINGTON ST |
Street Address 2 Of The Provider |
SUITE 111 |
City Of The Provider |
SARASOTA |
Zip Code Of The Provider |
342393507 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
122 |
Number Of Services |
5408 |
Number Of Medicare Beneficiaries |
929 |
Total Submitted Charge Amount |
1174751 |
Total Medicare Allowed Amount |
409981.9 |
Total Medicare Payment Amount |
309486.29 |
Total Medicare Standardized Payment Amount |
305660.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1482 |
Number Of Medicare Beneficiaries With Drug Services |
335 |
Total Drug Submitted ChargeAmount |
59193 |
Total Drug Medicare AllowedAmount |
18943.38 |
Total Drug Medicare PaymentAmount |
14484.28 |
Total Drug Medicare Standardized Payment Amount |
14484.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
119 |
Number Of Medical Services |
3926 |
Number Of Medicare Beneficiaries With Medical Services |
929 |
Total Medical Submitted Charge Amount |
1115558 |
Total Medical Medicare Allowed Amount |
391038.52 |
Total Medical Medicare Payment Amount |
295002.01 |
Total Medical Medicare Standardized Payment Amount |
291175.99 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
63 |
Number Of Beneficiaries Age 65 to 74 |
414 |
Number Of Beneficiaries Age 75 to 84 |
299 |
Number Of Beneficiaries Age Greater 84 |
153 |
Number Of Female Beneficiaries |
546 |
Number Of Male Beneficiaries |
383 |
Number Of Non Hispanic White Beneficiaries |
878 |
Number Of Black or African American Beneficiaries |
18 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
848 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
81 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
68 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1388 |