National Provider Identifier [NPI]: |
1558369124 |
Last Name Of The Provider |
WONG |
First Name Of The Provider |
BRIGHT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
601 E ROLLINS ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
ORLANDO |
Zip Code Of The Provider |
328031248 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
76 |
Number Of Services |
9176 |
Number Of Medicare Beneficiaries |
2115 |
Total Submitted Charge Amount |
719050.36 |
Total Medicare Allowed Amount |
214509.3 |
Total Medicare Payment Amount |
162247.32 |
Total Medicare Standardized Payment Amount |
166407.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
6065 |
Number Of Medicare Beneficiaries With Drug Services |
63 |
Total Drug Submitted ChargeAmount |
3706.05 |
Total Drug Medicare AllowedAmount |
2017.64 |
Total Drug Medicare PaymentAmount |
1581.79 |
Total Drug Medicare Standardized Payment Amount |
1581.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
3111 |
Number Of Medicare Beneficiaries With Medical Services |
2115 |
Total Medical Submitted Charge Amount |
715344.31 |
Total Medical Medicare Allowed Amount |
212491.66 |
Total Medical Medicare Payment Amount |
160665.53 |
Total Medical Medicare Standardized Payment Amount |
164825.33 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
393 |
Number Of Beneficiaries Age 65 to 74 |
674 |
Number Of Beneficiaries Age 75 to 84 |
676 |
Number Of Beneficiaries Age Greater 84 |
372 |
Number Of Female Beneficiaries |
1289 |
Number Of Male Beneficiaries |
826 |
Number Of Non Hispanic White Beneficiaries |
1553 |
Number Of Black or African American Beneficiaries |
205 |
Number Of AsianPacific Islander Beneficiaries |
32 |
Number Of Hispanic Beneficiaries |
292 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1623 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
492 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
63 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
1.7876 |