Medicare Facts for David D. Peterson, MA


National Provider Identifier [NPI]: 1619918752
Last Name Of The Provider PETERSON
First Name Of The Provider DAVID
Middle Initial Of The Provider B
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 115 W SILVER ST
Street Address 2 Of The Provider
City Of The Provider WESTFIELD
Zip Code Of The Provider 010853628
State Code Of The Provider MA
Country Code Of The Provider US
Provider Type Of The Provider Emergency Medicine
Medicare Participation Indicator Y
Number Of HCPCS 35
Number Of Services 939
Number Of Medicare Beneficiaries 712
Total Submitted Charge Amount 807761
Total Medicare Allowed Amount 132068.96
Total Medicare Payment Amount 100831.88
Total Medicare Standardized Payment Amount 100555.22
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 35
Number Of Medical Services 939
Number Of Medicare Beneficiaries With Medical Services 712
Total Medical Submitted Charge Amount 807761
Total Medical Medicare Allowed Amount 132068.96
Total Medical Medicare Payment Amount 100831.88
Total Medical Medicare Standardized Payment Amount 100555.22
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 228
Number Of Beneficiaries Age 65 to 74 156
Number Of Beneficiaries Age 75 to 84 156
Number Of Beneficiaries Age Greater 84 172
Number Of Female Beneficiaries 428
Number Of Male Beneficiaries 284
Number Of Non Hispanic White Beneficiaries 638
Number Of Black or African American Beneficiaries 15
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 47
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 394
Number Of Beneficiaries With Medicare Medicaid Entitlement 318
Percent Of With Atrial Fibrillation 19
Percent Of With Alzheimers Disease or Dementia 21
Percent Of With Asthma 18
Percent Of With Cancer 9
Percent Of With Heart Failure 26
Percent Of With Chronic Kidney Disease 33
Percent Of With Chronic Obstructive Pulmonary Disease 27
Percent Of With Depression 48
Percent Of With Diabetes 28
Percent Of With Hyperlipidemia 52
Percent Of With Hypertension 68
Percent Of With Ischemic Heart Disease 36
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders 17
Percent Of With Stroke 9
Average HCC Risk Score Of Beneficiaries 1.5323

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