Medicare Facts for Dr. Paula C. Plummer, MD


National Provider Identifier [NPI]: 1528158656
Last Name Of The Provider PLUMMER
First Name Of The Provider PAULA
Middle Initial Of The Provider
Credentials Of The Provider M.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 12606 W HOUSTON CENTER BLVD
Street Address 2 Of The Provider SUITE 210
City Of The Provider HOUSTON
Zip Code Of The Provider 770822784
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 21
Number Of Services 399
Number Of Medicare Beneficiaries 98
Total Submitted Charge Amount 40280.62
Total Medicare Allowed Amount 27831.3
Total Medicare Payment Amount 18525.58
Total Medicare Standardized Payment Amount 18760.5
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 39
Number Of Medicare Beneficiaries With Drug Services 35
Total Drug Submitted ChargeAmount 2435
Total Drug Medicare AllowedAmount 885.58
Total Drug Medicare PaymentAmount 867.09
Total Drug Medicare Standardized Payment Amount 867.09
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 18
Number Of Medical Services 360
Number Of Medicare Beneficiaries With Medical Services 98
Total Medical Submitted Charge Amount 37845.62
Total Medical Medicare Allowed Amount 26945.72
Total Medical Medicare Payment Amount 17658.49
Total Medical Medicare Standardized Payment Amount 17893.41
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 61
Number Of Beneficiaries Age 75 to 84 24
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 64
Number Of Male Beneficiaries 34
Number Of Non Hispanic White Beneficiaries 53
Number Of Black or African American Beneficiaries 18
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 11
Number Of American Indian Alaska Native Beneficiaries 0
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 11
Percent Of With Cancer 12
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease 22
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 14
Percent Of With Diabetes 24
Percent Of With Hyperlipidemia 48
Percent Of With Hypertension 64
Percent Of With Ischemic Heart Disease 28
Percent Of With Osteoporosis 12
Percent Of With Rheumatoid Arthritis Osteoarthritis 29
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.7352

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