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Bridgeport Mri Llc

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NPI Number Detailed Information

Provider Information:

Name: Bridgeport Mri Llc
Gender:
Provider License Number If Given:

NPI Information:

NPI: 1538107941
Entity Type
(Individual or Organization):
2-org
Enumeration Date: 6/4/2006

Last Update Date: 1/18/2023

Provider Business Mailing Address:

Address: 15755 SW SEQUOIA PKWY SUITE 100
Tigard, OR 97224
Phone Number: 5037474868
Fax Number: 5036399710

Provider Business Practice Location Address:

Address: 15755 SW SEQUOIA PKWY SUITE 100
Tigard, OR 97224
Phone Number: 5036399700
Fax Number: 5036399710

Provider Taxonomy:

Primary: 293D00000X
Secondary (if any):
State: OR

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About Bridgeport Mri Llc

Bridgeport Mri Llc ( BRIDGEPORT MRI LLC ) is A Physiological Laboratory Provider in Tigard, OR. The NPI Number for Bridgeport Mri Llc is 1538107941.
The current location address for Bridgeport Mri Llc is 15755 SW SEQUOIA PKWY SUITE 100 Tigard, OR 97224 and the contact number is 5037474868 and fax number is 5036399710. The mailing address for Bridgeport Mri Llc is 15755 SW SEQUOIA PKWY SUITE 100 Tigard, OR 97224- 5036399700 (mailing address contact number - 5037474868).
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

Provider Business Location on Map

FAQs:

What is the NPI Number for Bridgeport Mri Llc ?


Answer: The NPI Number for Bridgeport Mri Llc is 1538107941

Where is Bridgeport Mri Llc located?


Answer: Bridgeport Mri Llc is located at 15755 SW SEQUOIA PKWY SUITE 100 Tigard, OR 97224.

What is the specialty for Bridgeport Mri Llc ?


Answer: The Specialty of Bridgeport Mri Llc is A Physiological Laboratory Provider.

Are there any online reviews for Bridgeport Mri Llc ?


Answer: Not yet!

Are there any other health care providers in Tigard, OR?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Bridgeport Mri Llc

Number of HCPCS 29
Number of Medicare Beneficiaries 136
Number of Services 4289
Total Submitted Charge Amount 260672.48
Total Medicare Allowed Amount 40501.91
Total Medicare Payment Amount 30993.65
Total Medicare Standardized Payment Amount 28870.97
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 2
Number of Medicare Beneficiaries With Drug Services 26
Number of Drug Services 4112
Total Drug Submitted Charge Amount 3034.48
Total Drug Medicare Allowed Amount 662.49
Total Drug Medicare Payment Amount 514.71
Total Drug Medicare Standardized Payment Amount 504.4
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 27
Number of Medicare Beneficiaries With Medical 134
Number of Medical Services 177
Total Medical Submitted Charge Amount 257638
Total Medical Medicare Allowed Amount 39839.42
Total Medical Medicare Payment Amount 30478.94
Total Medical Medicare Standardized Payment Amount 28366.57
Average Age of Beneficiaries 72
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 77
Number of Beneficiaries Age 75 to 84 36
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 81
Number of Male Beneficiaries 55
Number of Non-Hispanic White Beneficiaries 119
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma 0.08
Percent (%) of Beneficiaries Identified With Cancer 0.13
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.19
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression 0.18
Percent (%) of Beneficiaries Identified With Diabetes 0.18
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.43
Percent (%) of Beneficiaries Identified With Hypertension 0.46
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.21
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.75
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 0.8443

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