Medicare Facts for Dr. Jennifer S. Peterson, MD


National Provider Identifier [NPI]: 1700841178
Last Name Of The Provider PETERSON
First Name Of The Provider JENNIFER
Middle Initial Of The Provider S
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1204 JOSEPH ST # 2
Street Address 2 Of The Provider
City Of The Provider DODGEVILLE
Zip Code Of The Provider 535339670
State Code Of The Provider WI
Country Code Of The Provider US
Provider Type Of The Provider Dermatology
Medicare Participation Indicator Y
Number Of HCPCS 73
Number Of Services 6006
Number Of Medicare Beneficiaries 962
Total Submitted Charge Amount 1108183.81
Total Medicare Allowed Amount 285056.25
Total Medicare Payment Amount 204005.67
Total Medicare Standardized Payment Amount 209162.29
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 2
Number Of Drug Services 40
Number Of Medicare Beneficiaries With Drug Services 22
Total Drug Submitted ChargeAmount 3772
Total Drug Medicare AllowedAmount 2049.56
Total Drug Medicare PaymentAmount 1606.81
Total Drug Medicare Standardized Payment Amount 1606.81
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 71
Number Of Medical Services 5966
Number Of Medicare Beneficiaries With Medical Services 962
Total Medical Submitted Charge Amount 1104411.81
Total Medical Medicare Allowed Amount 283006.69
Total Medical Medicare Payment Amount 202398.86
Total Medical Medicare Standardized Payment Amount 207555.48
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 64
Number Of Beneficiaries Age 65 to 74 401
Number Of Beneficiaries Age 75 to 84 356
Number Of Beneficiaries Age Greater 84 141
Number Of Female Beneficiaries 520
Number Of Male Beneficiaries 442
Number Of Non Hispanic White Beneficiaries 945
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 865
Number Of Beneficiaries With Medicare Medicaid Entitlement 97
Percent Of With Atrial Fibrillation 8
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 3
Percent Of With Cancer 10
Percent Of With Heart Failure 11
Percent Of With Chronic Kidney Disease 12
Percent Of With Chronic Obstructive Pulmonary Disease 9
Percent Of With Depression 15
Percent Of With Diabetes 24
Percent Of With Hyperlipidemia 44
Percent Of With Hypertension 49
Percent Of With Ischemic Heart Disease 24
Percent Of With Osteoporosis 5
Percent Of With Rheumatoid Arthritis Osteoarthritis 28
Percent Of With Schizophrenia Other PsychoticDisorders 2
Percent Of With Stroke 1
Average HCC Risk Score Of Beneficiaries 0.898

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