Medicare Facts for Nicole M. Fruth, AUD


National Provider Identifier [NPI]: 1841521895
Last Name Of The Provider FRUTH
First Name Of The Provider NICOLE
Middle Initial Of The Provider M
Credentials Of The Provider AU.D
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 6018 SANDY SPRINGS CIR
Street Address 2 Of The Provider
City Of The Provider ATLANTA
Zip Code Of The Provider 303283832
State Code Of The Provider GA
Country Code Of The Provider US
Provider Type Of The Provider Audiologist (billing independently)
Medicare Participation Indicator Y
Number Of HCPCS 2
Number Of Services 64
Number Of Medicare Beneficiaries 14
Total Submitted Charge Amount 11171.08
Total Medicare Allowed Amount 1857.36
Total Medicare Payment Amount 1456.14
Total Medicare Standardized Payment Amount 1060.47
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 2
Number Of Medical Services 64
Number Of Medicare Beneficiaries With Medical Services 14
Total Medical Submitted Charge Amount 11171.08
Total Medical Medicare Allowed Amount 1857.36
Total Medical Medicare Payment Amount 1456.14
Total Medical Medicare Standardized Payment Amount 1060.47
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65 0
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries
Number Of Male Beneficiaries
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
Number Of Beneficiaries With Medicare Medicaid Entitlement
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
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression
Percent Of With Diabetes
Percent Of With Hyperlipidemia
Percent Of With Hypertension
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9141

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