National Provider Identifier [NPI]: |
1164491213 |
Last Name Of The Provider |
WRIGHT |
First Name Of The Provider |
ROSILIN |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
648 W FOREST AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
JACKSON |
Zip Code Of The Provider |
383013902 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
112 |
Number Of Services |
4107 |
Number Of Medicare Beneficiaries |
904 |
Total Submitted Charge Amount |
250929.26 |
Total Medicare Allowed Amount |
119007.88 |
Total Medicare Payment Amount |
85355.15 |
Total Medicare Standardized Payment Amount |
92824.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
25 |
Number Of Drug Services |
1365 |
Number Of Medicare Beneficiaries With Drug Services |
251 |
Total Drug Submitted ChargeAmount |
4914 |
Total Drug Medicare AllowedAmount |
1528.33 |
Total Drug Medicare PaymentAmount |
1209.21 |
Total Drug Medicare Standardized Payment Amount |
1209.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
87 |
Number Of Medical Services |
2742 |
Number Of Medicare Beneficiaries With Medical Services |
904 |
Total Medical Submitted Charge Amount |
246015.26 |
Total Medical Medicare Allowed Amount |
117479.55 |
Total Medical Medicare Payment Amount |
84145.94 |
Total Medical Medicare Standardized Payment Amount |
91615.24 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
121 |
Number Of Beneficiaries Age 65 to 74 |
395 |
Number Of Beneficiaries Age 75 to 84 |
269 |
Number Of Beneficiaries Age Greater 84 |
119 |
Number Of Female Beneficiaries |
592 |
Number Of Male Beneficiaries |
312 |
Number Of Non Hispanic White Beneficiaries |
768 |
Number Of Black or African American Beneficiaries |
|
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 |
766 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
138 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0727 |