Medicare Facts for Kimberly Fakhreddine


National Provider Identifier [NPI]: 1730517095
Last Name Of The Provider FAKHREDDINE
First Name Of The Provider KIMBERLY
Middle Initial Of The Provider
Credentials Of The Provider AGACNP
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 3801 50TH ST
Street Address 2 Of The Provider STE 5
City Of The Provider LUBBOCK
Zip Code Of The Provider 794133807
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 14
Number Of Services 529
Number Of Medicare Beneficiaries 170
Total Submitted Charge Amount 55857.02
Total Medicare Allowed Amount 26634.23
Total Medicare Payment Amount 19922.71
Total Medicare Standardized Payment Amount 25107.29
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 76
Number Of Medicare Beneficiaries With Drug Services 16
Total Drug Submitted ChargeAmount 2900.02
Total Drug Medicare AllowedAmount 1110.14
Total Drug Medicare PaymentAmount 919.45
Total Drug Medicare Standardized Payment Amount 919.45
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 10
Number Of Medical Services 453
Number Of Medicare Beneficiaries With Medical Services 170
Total Medical Submitted Charge Amount 52957
Total Medical Medicare Allowed Amount 25524.09
Total Medical Medicare Payment Amount 19003.26
Total Medical Medicare Standardized Payment Amount 24187.84
Average Age Of Beneficiaries 69
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 74
Number Of Beneficiaries Age 75 to 84 48
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 109
Number Of Male Beneficiaries 61
Number Of Non Hispanic White Beneficiaries 116
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 0
Number Of Hispanic Beneficiaries 43
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 142
Number Of Beneficiaries With Medicare Medicaid Entitlement 28
Percent Of With Atrial Fibrillation 15
Percent Of With Alzheimers Disease or Dementia 10
Percent Of With Asthma 13
Percent Of With Cancer 7
Percent Of With Heart Failure 32
Percent Of With Chronic Kidney Disease 27
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 28
Percent Of With Diabetes 75
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 58
Percent Of With Osteoporosis 6
Percent Of With Rheumatoid Arthritis Osteoarthritis 48
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.8698

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