| National Provider Identifier [NPI]: | 1396768883 |
| Last Name Of The Provider | WRIGHT |
| First Name Of The Provider | PHILLIP |
| Middle Initial Of The Provider | G |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 8060 SURREY LN |
| Street Address 2 Of The Provider | |
| City Of The Provider | OAKLAND |
| Zip Code Of The Provider | 946054225 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Thoracic Surgery |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 2 |
| Number Of Services | 10257 |
| Number Of Medicare Beneficiaries | 4400 |
| Total Submitted Charge Amount | 524860 |
| Total Medicare Allowed Amount | 439924.19 |
| Total Medicare Payment Amount | 342453.94 |
| Total Medicare Standardized Payment Amount | 323145.31 |
| 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 | 2 |
| Number Of Medical Services | 10257 |
| Number Of Medicare Beneficiaries With Medical Services | 4400 |
| Total Medical Submitted Charge Amount | 524860 |
| Total Medical Medicare Allowed Amount | 439924.19 |
| Total Medical Medicare Payment Amount | 342453.94 |
| Total Medical Medicare Standardized Payment Amount | 323145.31 |
| Average Age Of Beneficiaries | 79 |
| Number Of Beneficiaries Age Less65 | 550 |
| Number Of Beneficiaries Age 65 to 74 | 915 |
| Number Of Beneficiaries Age 75 to 84 | 1230 |
| Number Of Beneficiaries Age Greater 84 | 1705 |
| Number Of Female Beneficiaries | 2721 |
| Number Of Male Beneficiaries | 1679 |
| Number Of Non Hispanic White Beneficiaries | 2277 |
| Number Of Black or African American Beneficiaries | 873 |
| Number Of AsianPacific Islander Beneficiaries | 601 |
| Number Of Hispanic Beneficiaries | 562 |
| Number Of American Indian Alaska Native Beneficiaries | 18 |
| Number Of Beneficiaries With Race Not Else where Classified | 69 |
| Number Of Beneficiaries With Medicare Only Entitlement | 547 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 3853 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 67 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 7 |
| Percent Of With Heart Failure | 41 |
| Percent Of With Chronic Kidney Disease | 44 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 43 |
| Percent Of With Diabetes | 49 |
| Percent Of With Hyperlipidemia | 43 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 41 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 36 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 20 |
| Percent Of With Stroke | 20 |
| Average HCC Risk Score Of Beneficiaries | 2.6076 |