National Provider Identifier [NPI]: |
1255660106 |
Last Name Of The Provider |
WRIGHT |
First Name Of The Provider |
MELISSA |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
FNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
236 W GARDEN ST |
Street Address 2 Of The Provider |
SUITE 4 |
City Of The Provider |
PENSACOLA |
Zip Code Of The Provider |
325025755 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
17 |
Number Of Services |
695 |
Number Of Medicare Beneficiaries |
140 |
Total Submitted Charge Amount |
119147.08 |
Total Medicare Allowed Amount |
81192.8 |
Total Medicare Payment Amount |
62923.27 |
Total Medicare Standardized Payment Amount |
73703.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
19 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
780 |
Total Drug Medicare AllowedAmount |
227.82 |
Total Drug Medicare PaymentAmount |
215.22 |
Total Drug Medicare Standardized Payment Amount |
215.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
15 |
Number Of Medical Services |
676 |
Number Of Medicare Beneficiaries With Medical Services |
140 |
Total Medical Submitted Charge Amount |
118367.08 |
Total Medical Medicare Allowed Amount |
80964.98 |
Total Medical Medicare Payment Amount |
62708.05 |
Total Medical Medicare Standardized Payment Amount |
73488.63 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
18 |
Number Of Beneficiaries Age 65 to 74 |
28 |
Number Of Beneficiaries Age 75 to 84 |
36 |
Number Of Beneficiaries Age Greater 84 |
58 |
Number Of Female Beneficiaries |
93 |
Number Of Male Beneficiaries |
47 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
83 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
57 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
66 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
61 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
22 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
64 |
Percent Of With Schizophrenia Other PsychoticDisorders |
21 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
1.6768 |