National Provider Identifier [NPI]: |
1578526836 |
Last Name Of The Provider |
WRIGHT |
First Name Of The Provider |
SYLVIA |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3286 NORTHSIDE PKWY NW |
Street Address 2 Of The Provider |
SUITE 130 |
City Of The Provider |
ATLANTA |
Zip Code Of The Provider |
303272223 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
2712 |
Number Of Medicare Beneficiaries |
585 |
Total Submitted Charge Amount |
309319 |
Total Medicare Allowed Amount |
169287.05 |
Total Medicare Payment Amount |
121893.42 |
Total Medicare Standardized Payment Amount |
121454.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
164 |
Number Of Medicare Beneficiaries With Drug Services |
58 |
Total Drug Submitted ChargeAmount |
2700 |
Total Drug Medicare AllowedAmount |
1300.97 |
Total Drug Medicare PaymentAmount |
979.73 |
Total Drug Medicare Standardized Payment Amount |
979.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
2548 |
Number Of Medicare Beneficiaries With Medical Services |
585 |
Total Medical Submitted Charge Amount |
306619 |
Total Medical Medicare Allowed Amount |
167986.08 |
Total Medical Medicare Payment Amount |
120913.69 |
Total Medical Medicare Standardized Payment Amount |
120475.02 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
34 |
Number Of Beneficiaries Age 65 to 74 |
350 |
Number Of Beneficiaries Age 75 to 84 |
163 |
Number Of Beneficiaries Age Greater 84 |
38 |
Number Of Female Beneficiaries |
395 |
Number Of Male Beneficiaries |
190 |
Number Of Non Hispanic White Beneficiaries |
462 |
Number Of Black or African American Beneficiaries |
105 |
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 |
566 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
19 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
17 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
48 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8156 |