Medicare Facts for John R. Fullerton


National Provider Identifier [NPI]: 1588756266
Last Name Of The Provider FULLERTON
First Name Of The Provider JOHN
Middle Initial Of The Provider
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1700 CALIFORNIA ST
Street Address 2 Of The Provider SUITE 470
City Of The Provider SAN FRANCISCO
Zip Code Of The Provider 94109
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 38
Number Of Services 6386
Number Of Medicare Beneficiaries 481
Total Submitted Charge Amount 493062.13
Total Medicare Allowed Amount 335129.9
Total Medicare Payment Amount 253399.53
Total Medicare Standardized Payment Amount 237023.25
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 6
Number Of Drug Services 153
Number Of Medicare Beneficiaries With Drug Services 58
Total Drug Submitted ChargeAmount 3346.16
Total Drug Medicare AllowedAmount 1071.08
Total Drug Medicare PaymentAmount 961.07
Total Drug Medicare Standardized Payment Amount 961.07
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 32
Number Of Medical Services 6233
Number Of Medicare Beneficiaries With Medical Services 481
Total Medical Submitted Charge Amount 489715.97
Total Medical Medicare Allowed Amount 334058.82
Total Medical Medicare Payment Amount 252438.46
Total Medical Medicare Standardized Payment Amount 236062.18
Average Age Of Beneficiaries 78
Number Of Beneficiaries Age Less65 68
Number Of Beneficiaries Age 65 to 74 111
Number Of Beneficiaries Age 75 to 84 115
Number Of Beneficiaries Age Greater 84 187
Number Of Female Beneficiaries 283
Number Of Male Beneficiaries 198
Number Of Non Hispanic White Beneficiaries 371
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 34
Number Of Hispanic Beneficiaries 38
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 194
Number Of Beneficiaries With Medicare Medicaid Entitlement 287
Percent Of With Atrial Fibrillation 23
Percent Of With Alzheimers Disease or Dementia 54
Percent Of With Asthma 9
Percent Of With Cancer 8
Percent Of With Heart Failure 33
Percent Of With Chronic Kidney Disease 40
Percent Of With Chronic Obstructive Pulmonary Disease 20
Percent Of With Depression 45
Percent Of With Diabetes 51
Percent Of With Hyperlipidemia 49
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 35
Percent Of With Osteoporosis 13
Percent Of With Rheumatoid Arthritis Osteoarthritis 37
Percent Of With Schizophrenia Other PsychoticDisorders 15
Percent Of With Stroke 14
Average HCC Risk Score Of Beneficiaries 2.1953

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