| National Provider Identifier [NPI]: | 1881612778 |
| Last Name Of The Provider | IVERSEN |
| First Name Of The Provider | ROSANNE |
| Middle Initial Of The Provider | K |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 501 ANGLERS DR |
| Street Address 2 Of The Provider | SUITE 201 |
| City Of The Provider | STEAMBOAT SPRINGS |
| Zip Code Of The Provider | 804878840 |
| State Code Of The Provider | CO |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Family Practice |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 59 |
| Number Of Services | 1744 |
| Number Of Medicare Beneficiaries | 172 |
| Total Submitted Charge Amount | 130172 |
| Total Medicare Allowed Amount | 62996.58 |
| Total Medicare Payment Amount | 47899.54 |
| Total Medicare Standardized Payment Amount | 47779.64 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 9 |
| Number Of Drug Services | 872 |
| Number Of Medicare Beneficiaries With Drug Services | 82 |
| Total Drug Submitted ChargeAmount | 37271 |
| Total Drug Medicare AllowedAmount | 14736.31 |
| Total Drug Medicare PaymentAmount | 12166.39 |
| Total Drug Medicare Standardized Payment Amount | 12166.39 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 50 |
| Number Of Medical Services | 872 |
| Number Of Medicare Beneficiaries With Medical Services | 172 |
| Total Medical Submitted Charge Amount | 92901 |
| Total Medical Medicare Allowed Amount | 48260.27 |
| Total Medical Medicare Payment Amount | 35733.15 |
| Total Medical Medicare Standardized Payment Amount | 35613.25 |
| Average Age Of Beneficiaries | 69 |
| Number Of Beneficiaries Age Less65 | 21 |
| Number Of Beneficiaries Age 65 to 74 | 122 |
| Number Of Beneficiaries Age 75 to 84 | |
| Number Of Beneficiaries Age Greater 84 | |
| Number Of Female Beneficiaries | 119 |
| Number Of Male Beneficiaries | 53 |
| Number Of Non Hispanic White Beneficiaries | |
| 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 | 154 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 18 |
| Percent Of With Atrial Fibrillation | |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | |
| Percent Of With Chronic Kidney Disease | |
| Percent Of With Chronic Obstructive Pulmonary Disease | |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 13 |
| Percent Of With Hyperlipidemia | 30 |
| Percent Of With Hypertension | 38 |
| Percent Of With Ischemic Heart Disease | 10 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 30 |
| Percent Of With Schizophrenia Other PsychoticDisorders | |
| Percent Of With Stroke | |
| Average HCC Risk Score Of Beneficiaries | 0.615 |