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Dianne M Rudolph

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NPI Number Detailed Information

Provider Information:

Name: Dianne M Rudolph
Gender: F
Provider License Number If Given: 561280

NPI Information:

NPI: 1427095777
Entity Type
(Individual or Organization):		 1-ind
Enumeration Date: 6/2/2006
Last Update Date: 8/25/2021

Provider Business Mailing Address:

Address: 4330 MEDICAL DR STE 500
San Antonio, TX 78229
Phone Number: 2104266230
Fax Number: 2105992104

Provider Business Practice Location Address:

Address: 12501 JUDSON RD STE 102
Live Oak, TX 78233
Phone Number: 2107292180
Fax Number:

Provider Taxonomy:

Primary: 163WW0000X
Secondary (if any): 363L00000X
State: TX

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About Dianne M Rudolph

Dianne M Rudolph ( DIANNE M RUDOLPH ) is Definition Registered Nurse Physician in Live Oak, TX. The NPI Number for Dianne M Rudolph is 1427095777.
The current location address for Dianne M Rudolph is 12501 JUDSON RD STE 102 Live Oak, TX 78233 and the contact number is 2104266230 and fax number is 2105992104. The mailing address for Dianne M Rudolph is 4330 MEDICAL DR STE 500 San Antonio, TX 78229- 2107292180 (mailing address contact number - 2104266230).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Dianne M Rudolph ?


Answer: The NPI Number for Dianne M Rudolph is 1427095777

Where is Dianne M Rudolph located?


Answer: Dianne M Rudolph is located at 12501 JUDSON RD STE 102 Live Oak, TX 78233.

What is the specialty for Dianne M Rudolph ?


Answer: The Specialty of Dianne M Rudolph is Definition Registered Nurse Physician.

Are there any online reviews for Dianne M Rudolph ?


Answer: Not yet!

Are there any other health care providers in Live Oak, TX?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dianne M Rudolph

Number of HCPCS 36
Number of Medicare Beneficiaries 124
Number of Services 885
Total Submitted Charge Amount 389239.4
Total Medicare Allowed Amount 146181.57
Total Medicare Payment Amount 116699.98
Total Medicare Standardized Payment Amount 116084.92
Drug Suppress Indicator *
Number of HCPCS Associated With Drug Services
Number of Medicare Beneficiaries With Drug Services
Number of Drug Services
Total Drug Submitted Charge Amount
Total Drug Medicare Allowed Amount
Total Drug Medicare Payment Amount
Total Drug Medicare Standardized Payment Amount
Medical Suppress Indicator #
Number of HCPCS Associated With Medical Services
Number of Medicare Beneficiaries With Medical
Number of Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age of Beneficiaries 81
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84 45
Number of Beneficiaries Age Greater 84 46
Number of Female Beneficiaries 59
Number of Male Beneficiaries 65
Number of Non-Hispanic White Beneficiaries 100
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 45
Number of Beneficiaries With Medicare Only Entitlement 79
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.26
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.74
Percent (%) of Beneficiaries Identified With Asthma 0.1
Percent (%) of Beneficiaries Identified With Cancer 0.15
Percent (%) of Beneficiaries Identified With Heart Failure 0.45
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.58
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.23
Percent (%) of Beneficiaries Identified With Depression 0.48
Percent (%) of Beneficiaries Identified With Diabetes 0.51
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.67
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.54
Percent (%) of Beneficiaries Identified With Osteoporosis 0.15
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.58
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.11
Average HCC Risk Score of Beneficiaries 2.292

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Nurse Practitioner
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 42
Number of Standardized 30-Day Fills 42
Aggregate Cost Paid for All Claims 1054.24
Number of Day's Supply for All Claims 748
Number of Medicare Beneficiaries 14
Number of Claims, Including Refills, for Beneficiaries Age 65+ 21
Including Refills, for Beneficiaries Age 65+ 21
Beneficiaries Age 65+ 810.93
Number of Day's Supply for All Claims for Beneficaries Age 65+ 341
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst *
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 40
Aggregate Cost Paid for Generic Drugs 526.59
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst #
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 24
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 549.55
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 18
Aggregate Cost Paid for Claims Filled by 504.69
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 23
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 244.29
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 19
by Low-Income Subsidy 809.95
Total Claims of Opioid Drugs, Including 0
Aggregate Cost Paid for Opioid Drugs 0
Opioid Claims 0
Opioid_Tot_Clms divided by the Tot_Clms 0
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 19
Aggregate Cost Paid for Antibiotic Drugs 198.84
Antibiotic Claims
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 72.714285714
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White
Number of Black or African American 0
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not 0
Only Entitlement
Average Hierarchical Condition Category 2.281297619

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