Medicare Facts for Dr. Michael W. Peterson, DO


National Provider Identifier [NPI]: 1770634909
Last Name Of The Provider PETERSON
First Name Of The Provider MICHAEL
Middle Initial Of The Provider W
Credentials Of The Provider D.O.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 114 EAST 800 NORTH
Street Address 2 Of The Provider
City Of The Provider SPANISH FORK
Zip Code Of The Provider 84660
State Code Of The Provider UT
Country Code Of The Provider US
Provider Type Of The Provider Dermatology
Medicare Participation Indicator Y
Number Of HCPCS 98
Number Of Services 12763
Number Of Medicare Beneficiaries 4086
Total Submitted Charge Amount 1155849.94
Total Medicare Allowed Amount 648466.29
Total Medicare Payment Amount 489329.95
Total Medicare Standardized Payment Amount 442305.12
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 131
Number Of Medicare Beneficiaries With Drug Services 24
Total Drug Submitted ChargeAmount 2737.07
Total Drug Medicare AllowedAmount 2138.77
Total Drug Medicare PaymentAmount 1676.77
Total Drug Medicare Standardized Payment Amount 1676.77
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 93
Number Of Medical Services 12632
Number Of Medicare Beneficiaries With Medical Services 4086
Total Medical Submitted Charge Amount 1153112.87
Total Medical Medicare Allowed Amount 646327.52
Total Medical Medicare Payment Amount 487653.18
Total Medical Medicare Standardized Payment Amount 440628.35
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 142
Number Of Beneficiaries Age 65 to 74 1863
Number Of Beneficiaries Age 75 to 84 1530
Number Of Beneficiaries Age Greater 84 551
Number Of Female Beneficiaries 1787
Number Of Male Beneficiaries 2299
Number Of Non Hispanic White Beneficiaries 3951
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 80
Number Of American Indian Alaska Native Beneficiaries 16
Number Of Beneficiaries With Race Not Else where Classified 28
Number Of Beneficiaries With Medicare Only Entitlement 3830
Number Of Beneficiaries With Medicare Medicaid Entitlement 256
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 5
Percent Of With Cancer 11
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 20
Percent Of With Chronic Obstructive Pulmonary Disease 14
Percent Of With Depression 14
Percent Of With Diabetes 26
Percent Of With Hyperlipidemia 55
Percent Of With Hypertension 64
Percent Of With Ischemic Heart Disease 32
Percent Of With Osteoporosis 6
Percent Of With Rheumatoid Arthritis Osteoarthritis 35
Percent Of With Schizophrenia Other PsychoticDisorders 2
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.0718

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