Medicare Facts for Dr. George S. Fortner, MD


National Provider Identifier [NPI]: 1154329324
Last Name Of The Provider FORTNER
First Name Of The Provider GEORGE
Middle Initial Of The Provider S
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1615 DELAWARE ST
Street Address 2 Of The Provider
City Of The Provider LONGVIEW
Zip Code Of The Provider 986322310
State Code Of The Provider WA
Country Code Of The Provider US
Provider Type Of The Provider Vascular Surgery
Medicare Participation Indicator Y
Number Of HCPCS 120
Number Of Services 1061
Number Of Medicare Beneficiaries 477
Total Submitted Charge Amount 713128.55
Total Medicare Allowed Amount 189632.32
Total Medicare Payment Amount 144944.51
Total Medicare Standardized Payment Amount 149938.99
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 120
Number Of Medical Services 1061
Number Of Medicare Beneficiaries With Medical Services 477
Total Medical Submitted Charge Amount 713128.55
Total Medical Medicare Allowed Amount 189632.32
Total Medical Medicare Payment Amount 144944.51
Total Medical Medicare Standardized Payment Amount 149938.99
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 84
Number Of Beneficiaries Age 65 to 74 185
Number Of Beneficiaries Age 75 to 84 137
Number Of Beneficiaries Age Greater 84 71
Number Of Female Beneficiaries 239
Number Of Male Beneficiaries 238
Number Of Non Hispanic White Beneficiaries 447
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 357
Number Of Beneficiaries With Medicare Medicaid Entitlement 120
Percent Of With Atrial Fibrillation 19
Percent Of With Alzheimers Disease or Dementia 10
Percent Of With Asthma 10
Percent Of With Cancer 10
Percent Of With Heart Failure 35
Percent Of With Chronic Kidney Disease 45
Percent Of With Chronic Obstructive Pulmonary Disease 26
Percent Of With Depression 26
Percent Of With Diabetes 46
Percent Of With Hyperlipidemia 60
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 51
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 29
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 12
Average HCC Risk Score Of Beneficiaries 2.4177

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