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    OpenPayerNPI Medicare & MedicaidAshley Fultz
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    Ashley Fultz — Billing Profile & Reimbursement Data

    NPI 1457694960 · Middlesboro, KY · Family Nurse Practitioner

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    Ashley Fultz is a family nurse practitioner provider located in Middlesboro, Kentucky. This profile covers 17 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
    OrganizationAshley Fultz
    Address2010 Cumberland Ave
    CityMiddlesboro
    StateKY
    ZIP40965
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedApril 3, 2013

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

    Payer SourceTotal Paid
    Medicare$62.1K
    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…470$60$30.2K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit100$100$10.2K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…190$50$8.5K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…320$10$2.6K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…290$10$2.3K
    J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg330$10$1.6K
    87428The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…30$50$1.5K
    G0008Administration of influenza virus vaccine40$30$1.2K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.130$10$1K
    90686This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…40$20$920

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992146797,230110$70$14.1K
    G04394971,57060$110$9.3K
    992131,6797,25080$50$7.7K
    8502579350100$10$3.4K
    G00089881,91050$30$2K
    364154171,040100$10$1.7K
    J070228120120$1$1.3K
    7350240245040$20$1.2K
    9300052591030$10$1.1K
    7104630875030$10$960

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    John RobertsonTNFamily Medicine Physician$90K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Appalachian Regional Healthcare, Inc.KYGeneral Acute Care Hospital$0$38.9M
    Adult Day Health, Inc.KYAdult Day Care Clinic/Center$0$5.6M
    Lincare IncKYDurable Medical Equipment & Medical Supplies$0$5M
    Rest-moore Inc.KYSleep Disorder Diagnostic Clinic/Center$67.6K$3.4M
    Middlesborough Emergency Physicians LLCKYEmergency Medicine Physician$0$2.9M
    Air Evac Ems IncKYAir Ambulance$500.2K$1.8M
    City Of MiddlesboroKYLand Ambulance$335.7K$1.3M
    Charles MooreKYInternal Medicine Physician$102.8K$467K
    Holly BoothKYOptometrist$148.4K$345.2K
    Downtown Radiology IncKYMammography Radiologic Technologist$13.7K$381.1K

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Kentucky Distribution
    Ashley Fultz — 1 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky