National Provider Identifier [NPI]: |
1174781231 |
Last Name Of The Provider |
LAUTEN |
First Name Of The Provider |
WRIGHT |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
109 MILLSAPS DR |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
HATTIESBURG |
Zip Code Of The Provider |
394021587 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
24839 |
Number Of Medicare Beneficiaries |
1205 |
Total Submitted Charge Amount |
7711974.11 |
Total Medicare Allowed Amount |
2897350.25 |
Total Medicare Payment Amount |
2227700.97 |
Total Medicare Standardized Payment Amount |
2375348.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
4480 |
Number Of Medicare Beneficiaries With Drug Services |
585 |
Total Drug Submitted ChargeAmount |
1998513.38 |
Total Drug Medicare AllowedAmount |
1019247.76 |
Total Drug Medicare PaymentAmount |
797487.75 |
Total Drug Medicare Standardized Payment Amount |
797487.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
20359 |
Number Of Medicare Beneficiaries With Medical Services |
1205 |
Total Medical Submitted Charge Amount |
5713460.73 |
Total Medical Medicare Allowed Amount |
1878102.49 |
Total Medical Medicare Payment Amount |
1430213.22 |
Total Medical Medicare Standardized Payment Amount |
1577860.91 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
150 |
Number Of Beneficiaries Age 65 to 74 |
467 |
Number Of Beneficiaries Age 75 to 84 |
368 |
Number Of Beneficiaries Age Greater 84 |
220 |
Number Of Female Beneficiaries |
710 |
Number Of Male Beneficiaries |
495 |
Number Of Non Hispanic White Beneficiaries |
1001 |
Number Of Black or African American Beneficiaries |
193 |
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 |
930 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
275 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.4922 |