National Provider Identifier [NPI]: |
1841236510 |
Last Name Of The Provider |
WRIGHT |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
800 E 20TH ST |
Street Address 2 Of The Provider |
SUITE 110 |
City Of The Provider |
CHEYENNE |
Zip Code Of The Provider |
820013859 |
State Code Of The Provider |
WY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
240 |
Number Of Services |
15194 |
Number Of Medicare Beneficiaries |
3512 |
Total Submitted Charge Amount |
465742.68 |
Total Medicare Allowed Amount |
363385.02 |
Total Medicare Payment Amount |
281358.25 |
Total Medicare Standardized Payment Amount |
285734.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
8863 |
Number Of Medicare Beneficiaries With Drug Services |
125 |
Total Drug Submitted ChargeAmount |
2995.28 |
Total Drug Medicare AllowedAmount |
2368.87 |
Total Drug Medicare PaymentAmount |
1808.59 |
Total Drug Medicare Standardized Payment Amount |
1808.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
236 |
Number Of Medical Services |
6331 |
Number Of Medicare Beneficiaries With Medical Services |
3512 |
Total Medical Submitted Charge Amount |
462747.4 |
Total Medical Medicare Allowed Amount |
361016.15 |
Total Medical Medicare Payment Amount |
279549.66 |
Total Medical Medicare Standardized Payment Amount |
283925.94 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
499 |
Number Of Beneficiaries Age 65 to 74 |
1368 |
Number Of Beneficiaries Age 75 to 84 |
1083 |
Number Of Beneficiaries Age Greater 84 |
562 |
Number Of Female Beneficiaries |
2262 |
Number Of Male Beneficiaries |
1250 |
Number Of Non Hispanic White Beneficiaries |
3116 |
Number Of Black or African American Beneficiaries |
56 |
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
278 |
Number Of American Indian Alaska Native Beneficiaries |
13 |
Number Of Beneficiaries With Race Not Else where Classified |
34 |
Number Of Beneficiaries With Medicare Only Entitlement |
2773 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
739 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
41 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2184 |