Medicare Facts for Dr. Branch R. Bullard, MD


National Provider Identifier [NPI]: 1104804137
Last Name Of The Provider BULLARD
First Name Of The Provider BRANCH
Middle Initial Of The Provider R
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1011 14TH AVE NW
Street Address 2 Of The Provider
City Of The Provider ARDMORE
Zip Code Of The Provider 734011828
State Code Of The Provider OK
Country Code Of The Provider US
Provider Type Of The Provider Emergency Medicine
Medicare Participation Indicator Y
Number Of HCPCS 4
Number Of Services 46
Number Of Medicare Beneficiaries 44
Total Submitted Charge Amount 34763
Total Medicare Allowed Amount 4776.02
Total Medicare Payment Amount 3446.02
Total Medicare Standardized Payment Amount 3582.81
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 4
Number Of Medical Services 46
Number Of Medicare Beneficiaries With Medical Services 44
Total Medical Submitted Charge Amount 34763
Total Medical Medicare Allowed Amount 4776.02
Total Medical Medicare Payment Amount 3446.02
Total Medical Medicare Standardized Payment Amount 3582.81
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 12
Number Of Beneficiaries Age 65 to 74 17
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 20
Number Of Male Beneficiaries 24
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 28
Number Of Beneficiaries With Medicare Medicaid Entitlement 16
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure 43
Percent Of With Chronic Kidney Disease 32
Percent Of With Chronic Obstructive Pulmonary Disease 27
Percent Of With Depression 43
Percent Of With Diabetes 41
Percent Of With Hyperlipidemia 59
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 43
Percent Of With Osteoporosis 0
Percent Of With Rheumatoid Arthritis Osteoarthritis 61
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.6501

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