Medicare Facts for Rita Fulmer


National Provider Identifier [NPI]: 1972675429
Last Name Of The Provider FULMER
First Name Of The Provider RITA
Middle Initial Of The Provider
Credentials Of The Provider FNPC
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 5323 HARRY HINES BLVD
Street Address 2 Of The Provider
City Of The Provider DALLAS
Zip Code Of The Provider 753907208
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 6
Number Of Services 553
Number Of Medicare Beneficiaries 251
Total Submitted Charge Amount 102551
Total Medicare Allowed Amount 23711.4
Total Medicare Payment Amount 17710.67
Total Medicare Standardized Payment Amount 20931.3
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 6
Number Of Medical Services 553
Number Of Medicare Beneficiaries With Medical Services 251
Total Medical Submitted Charge Amount 102551
Total Medical Medicare Allowed Amount 23711.4
Total Medical Medicare Payment Amount 17710.67
Total Medical Medicare Standardized Payment Amount 20931.3
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 30
Number Of Beneficiaries Age 65 to 74 113
Number Of Beneficiaries Age 75 to 84 76
Number Of Beneficiaries Age Greater 84 32
Number Of Female Beneficiaries 163
Number Of Male Beneficiaries 88
Number Of Non Hispanic White Beneficiaries 207
Number Of Black or African American Beneficiaries 26
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 235
Number Of Beneficiaries With Medicare Medicaid Entitlement 16
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 15
Percent Of With Cancer 10
Percent Of With Heart Failure 12
Percent Of With Chronic Kidney Disease 20
Percent Of With Chronic Obstructive Pulmonary Disease 14
Percent Of With Depression 36
Percent Of With Diabetes 25
Percent Of With Hyperlipidemia 66
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 34
Percent Of With Osteoporosis 20
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.1911

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