| National Provider Identifier [NPI]: | 1679524219 |
| Last Name Of The Provider | BRIGHT |
| First Name Of The Provider | JESSICA |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2140 E ELLSWORTH RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | ANN ARBOR |
| Zip Code Of The Provider | 481082552 |
| State Code Of The Provider | MI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Psychiatry |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 17 |
| Number Of Services | 16078 |
| Number Of Medicare Beneficiaries | 238 |
| Total Submitted Charge Amount | 233960.88 |
| Total Medicare Allowed Amount | 167658.23 |
| Total Medicare Payment Amount | 126039.39 |
| Total Medicare Standardized Payment Amount | 125397.78 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 15173 |
| Number Of Medicare Beneficiaries With Drug Services | 20 |
| Total Drug Submitted ChargeAmount | 115838.7 |
| Total Drug Medicare AllowedAmount | 114530.81 |
| Total Drug Medicare PaymentAmount | 89319.62 |
| Total Drug Medicare Standardized Payment Amount | 89319.62 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 12 |
| Number Of Medical Services | 905 |
| Number Of Medicare Beneficiaries With Medical Services | 238 |
| Total Medical Submitted Charge Amount | 118122.18 |
| Total Medical Medicare Allowed Amount | 53127.42 |
| Total Medical Medicare Payment Amount | 36719.77 |
| Total Medical Medicare Standardized Payment Amount | 36078.16 |
| Average Age Of Beneficiaries | 47 |
| Number Of Beneficiaries Age Less65 | 208 |
| Number Of Beneficiaries Age 65 to 74 | |
| Number Of Beneficiaries Age 75 to 84 | |
| Number Of Beneficiaries Age Greater 84 | |
| Number Of Female Beneficiaries | 101 |
| Number Of Male Beneficiaries | 137 |
| Number Of Non Hispanic White Beneficiaries | 172 |
| Number Of Black or African American Beneficiaries | 52 |
| 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 | |
| Number Of Beneficiaries With Medicare Only Entitlement | 20 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 218 |
| Percent Of With Atrial Fibrillation | |
| Percent Of With Alzheimers Disease or Dementia | 7 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | |
| Percent Of With Heart Failure | 5 |
| Percent Of With Chronic Kidney Disease | 12 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 5 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 15 |
| Percent Of With Hyperlipidemia | 18 |
| Percent Of With Hypertension | 26 |
| Percent Of With Ischemic Heart Disease | 8 |
| Percent Of With Osteoporosis | |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 11 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 50 |
| Percent Of With Stroke | |
| Average HCC Risk Score Of Beneficiaries | 1.1399 |