Medicare Facts for Dr. Gary D. Fortner, MD


National Provider Identifier [NPI]: 1891768289
Last Name Of The Provider FORTNER
First Name Of The Provider GARY
Middle Initial Of The Provider D
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1408 N FLORENCE AVE
Street Address 2 Of The Provider
City Of The Provider CLAREMORE
Zip Code Of The Provider 740173159
State Code Of The Provider OK
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 69
Number Of Services 1872
Number Of Medicare Beneficiaries 247
Total Submitted Charge Amount 80178.56
Total Medicare Allowed Amount 77091.14
Total Medicare Payment Amount 58868.83
Total Medicare Standardized Payment Amount 66656.91
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 13
Number Of Drug Services 270
Number Of Medicare Beneficiaries With Drug Services 87
Total Drug Submitted ChargeAmount 2218.08
Total Drug Medicare AllowedAmount 1836.6
Total Drug Medicare PaymentAmount 1699.22
Total Drug Medicare Standardized Payment Amount 1699.22
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 56
Number Of Medical Services 1602
Number Of Medicare Beneficiaries With Medical Services 247
Total Medical Submitted Charge Amount 77960.48
Total Medical Medicare Allowed Amount 75254.54
Total Medical Medicare Payment Amount 57169.61
Total Medical Medicare Standardized Payment Amount 64957.69
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 16
Number Of Beneficiaries Age 65 to 74 170
Number Of Beneficiaries Age 75 to 84 50
Number Of Beneficiaries Age Greater 84 11
Number Of Female Beneficiaries 130
Number Of Male Beneficiaries 117
Number Of Non Hispanic White Beneficiaries 226
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
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation 6
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer 6
Percent Of With Heart Failure 6
Percent Of With Chronic Kidney Disease 10
Percent Of With Chronic Obstructive Pulmonary Disease 8
Percent Of With Depression 9
Percent Of With Diabetes 15
Percent Of With Hyperlipidemia 37
Percent Of With Hypertension 44
Percent Of With Ischemic Heart Disease 20
Percent Of With Osteoporosis 13
Percent Of With Rheumatoid Arthritis Osteoarthritis 31
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.726

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