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    v1.0.28
    OpenPayerNPI Medicare & MedicaidLori Fulton
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    Lori Fulton — Billing Profile & Reimbursement Data

    NPI 1427149582 · Jackson, MS · Obstetrics & Gynecology Physician

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    Lori Fulton is a obstetrics & gynecology physician provider located in Jackson, Mississippi. This profile covers 16 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationLori Fulton
    Address1963 W Mcdowell Rd
    CityJackson
    StateMS
    ZIP39204
    TaxonomyObstetrics & Gynecology Physician
    NPI EnumeratedSeptember 27, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$60.9K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…140$120$15.7K
    J0585Injection, onabotulinumtoxina, 1 unit1,700$10$8.5K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…40$160$6.8K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…80$80$6.1K
    52287The provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystoscope. He then inserts a needle and injects a neurolytic drug into the…20$270$6K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…110$40$4.5K
    51729In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies and urethral pressure profile studies to diagnose certain urinary disorders like an overactive…20$170$3.5K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…30$130$3.3K
    Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory60$40$2.2K
    51797Voiding pressure (sometimes referred to as leak point pressure) measures contractions of the detrusor muscle and can detect a pressure obstruction if the patient is able to void, or express, urine.20$100$2.1K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J058528305,890$1$46.9K
    992142,7704,110170$70$21.9K
    52000557090$130$18.3K
    99490235330200$40$15.2K
    5228792020$310$11.1K
    5172992020$190$10.7K
    9921514490040$110$9K
    9920521943030$140$6.1K
    51797102020$90$5.5K
    Q00913512030$40$2.1K

    Showing 1–10 of 16

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Lori Fulton, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Steven SpeightsMSUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician$253.4K$0
    Robert HarrisMSUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician$251.4K$0
    Jesse HanksMSPhysician Assistant$70.8K$0
    Ahmet BedestaniMSObstetrics & Gynecology Physician$47K$0
    Lauren BlakeneyMSFamily Nurse Practitioner$27.3K$0

    Nearby Providers

    Other providers in the same ZIP code as Lori Fulton, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jackson Hma LLCMSGeneral Acute Care Hospital$0$31M
    App Of Mississippi Ed, LLCMSEmergency Medicine Physician$0$17M
    Mississippi Smiles Dentistry LLCMSGeneral Practice Dentistry$0$10.2M
    Heritage Home Health AgencyMSHome Health Agency$0$6.3M
    Bio-medical Applications Of Mississippi, Inc.MSEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$4.1M
    Central Mississippi Civic Improvement Association, Inc.MSCommunity Health Worker$0$3.4M
    Isd Renal IncMSEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.6M
    River Oaks Management Company LLCMSFamily Medicine Physician$0$2.6M
    Trinity Pediatric ClinicMSPrimary Care Clinic/Center$0$2.4M
    Isd Renal IncMSEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Mississippi Distribution
    Lori Fulton — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi