Medicare Facts for Nina M. Fulkerson, APRN


National Provider Identifier [NPI]: 1134123649
Last Name Of The Provider FULKERSON
First Name Of The Provider NINA
Middle Initial Of The Provider M
Credentials Of The Provider APRN
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 401 E CHESTNUT ST
Street Address 2 Of The Provider STE #510
City Of The Provider LOUISVILLE
Zip Code Of The Provider 402025700
State Code Of The Provider KY
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 26
Number Of Services 287
Number Of Medicare Beneficiaries 150
Total Submitted Charge Amount 13374.86
Total Medicare Allowed Amount 10450.64
Total Medicare Payment Amount 7207.25
Total Medicare Standardized Payment Amount 9523.08
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 7
Number Of Drug Services 53
Number Of Medicare Beneficiaries With Drug Services 50
Total Drug Submitted ChargeAmount 2035.51
Total Drug Medicare AllowedAmount 1687.51
Total Drug Medicare PaymentAmount 1653.58
Total Drug Medicare Standardized Payment Amount 1653.58
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 19
Number Of Medical Services 234
Number Of Medicare Beneficiaries With Medical Services 150
Total Medical Submitted Charge Amount 11339.35
Total Medical Medicare Allowed Amount 8763.13
Total Medical Medicare Payment Amount 5553.67
Total Medical Medicare Standardized Payment Amount 7869.5
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 17
Number Of Beneficiaries Age 65 to 74 65
Number Of Beneficiaries Age 75 to 84 34
Number Of Beneficiaries Age Greater 84 34
Number Of Female Beneficiaries 109
Number Of Male Beneficiaries 41
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 132
Number Of Beneficiaries With Medicare Medicaid Entitlement 18
Percent Of With Atrial Fibrillation 13
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma
Percent Of With Cancer 9
Percent Of With Heart Failure 12
Percent Of With Chronic Kidney Disease 15
Percent Of With Chronic Obstructive Pulmonary Disease 14
Percent Of With Depression 17
Percent Of With Diabetes 15
Percent Of With Hyperlipidemia 48
Percent Of With Hypertension 62
Percent Of With Ischemic Heart Disease 22
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 34
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0017

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