National Provider Identifier [NPI]: |
1578511226 |
Last Name Of The Provider |
WRIGHT |
First Name Of The Provider |
DEAN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9302 E 22ND STREET |
Street Address 2 Of The Provider |
SAGUARO EASTSIDE MEDICAL GROUP |
City Of The Provider |
TUCSON |
Zip Code Of The Provider |
85710 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
192 |
Number Of Services |
5798 |
Number Of Medicare Beneficiaries |
444 |
Total Submitted Charge Amount |
367615.6 |
Total Medicare Allowed Amount |
196087.87 |
Total Medicare Payment Amount |
148263.03 |
Total Medicare Standardized Payment Amount |
151867.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
743 |
Number Of Medicare Beneficiaries With Drug Services |
155 |
Total Drug Submitted ChargeAmount |
22392.5 |
Total Drug Medicare AllowedAmount |
13361.27 |
Total Drug Medicare PaymentAmount |
12995.76 |
Total Drug Medicare Standardized Payment Amount |
12995.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
176 |
Number Of Medical Services |
5055 |
Number Of Medicare Beneficiaries With Medical Services |
444 |
Total Medical Submitted Charge Amount |
345223.1 |
Total Medical Medicare Allowed Amount |
182726.6 |
Total Medical Medicare Payment Amount |
135267.27 |
Total Medical Medicare Standardized Payment Amount |
138871.33 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
28 |
Number Of Beneficiaries Age 65 to 74 |
215 |
Number Of Beneficiaries Age 75 to 84 |
156 |
Number Of Beneficiaries Age Greater 84 |
45 |
Number Of Female Beneficiaries |
253 |
Number Of Male Beneficiaries |
191 |
Number Of Non Hispanic White Beneficiaries |
387 |
Number Of Black or African American Beneficiaries |
11 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
422 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
22 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
40 |
Percent Of With Hypertension |
52 |
Percent Of With Ischemic Heart Disease |
18 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
18 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.8945 |