Medicare Facts for Dr. Carmen R. Fuentes, MD


National Provider Identifier [NPI]: 1639361033
Last Name Of The Provider FUENTES
First Name Of The Provider CARMEN
Middle Initial Of The Provider R
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 6161 KEMPSVILLE CIR
Street Address 2 Of The Provider SUITE 315
City Of The Provider NORFOLK
Zip Code Of The Provider 235023932
State Code Of The Provider VA
Country Code Of The Provider US
Provider Type Of The Provider Neurology
Medicare Participation Indicator Y
Number Of HCPCS 28
Number Of Services 8588
Number Of Medicare Beneficiaries 510
Total Submitted Charge Amount 385356
Total Medicare Allowed Amount 219367.1
Total Medicare Payment Amount 158146.48
Total Medicare Standardized Payment Amount 162482.96
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 7247
Number Of Medicare Beneficiaries With Drug Services 20
Total Drug Submitted ChargeAmount 75325
Total Drug Medicare AllowedAmount 43131.77
Total Drug Medicare PaymentAmount 31942.85
Total Drug Medicare Standardized Payment Amount 31942.85
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 25
Number Of Medical Services 1341
Number Of Medicare Beneficiaries With Medical Services 510
Total Medical Submitted Charge Amount 310031
Total Medical Medicare Allowed Amount 176235.33
Total Medical Medicare Payment Amount 126203.63
Total Medical Medicare Standardized Payment Amount 130540.11
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 65
Number Of Beneficiaries Age 65 to 74 201
Number Of Beneficiaries Age 75 to 84 181
Number Of Beneficiaries Age Greater 84 63
Number Of Female Beneficiaries 259
Number Of Male Beneficiaries 251
Number Of Non Hispanic White Beneficiaries 382
Number Of Black or African American Beneficiaries 98
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 13
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 436
Number Of Beneficiaries With Medicare Medicaid Entitlement 74
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 30
Percent Of With Asthma 9
Percent Of With Cancer 10
Percent Of With Heart Failure 17
Percent Of With Chronic Kidney Disease 21
Percent Of With Chronic Obstructive Pulmonary Disease 16
Percent Of With Depression 34
Percent Of With Diabetes 33
Percent Of With Hyperlipidemia 66
Percent Of With Hypertension 72
Percent Of With Ischemic Heart Disease 33
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 44
Percent Of With Schizophrenia Other PsychoticDisorders 5
Percent Of With Stroke 11
Average HCC Risk Score Of Beneficiaries 1.477

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