Medicare Facts for Dr. Sheela G. Kerstetter, MD


National Provider Identifier [NPI]: 1932235686
Last Name Of The Provider KERSTETTER
First Name Of The Provider SHEELA
Middle Initial Of The Provider G
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1414 9TH AVE
Street Address 2 Of The Provider STATION MEDICAL CENTER
City Of The Provider ALTOONA
Zip Code Of The Provider 166022415
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Dermatology
Medicare Participation Indicator Y
Number Of HCPCS 54
Number Of Services 2866
Number Of Medicare Beneficiaries 569
Total Submitted Charge Amount 289282
Total Medicare Allowed Amount 164645.9
Total Medicare Payment Amount 119294.25
Total Medicare Standardized Payment Amount 125775.04
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 69
Number Of Medicare Beneficiaries With Drug Services 29
Total Drug Submitted ChargeAmount 10711
Total Drug Medicare AllowedAmount 9982.4
Total Drug Medicare PaymentAmount 7038.25
Total Drug Medicare Standardized Payment Amount 7038.25
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 51
Number Of Medical Services 2797
Number Of Medicare Beneficiaries With Medical Services 569
Total Medical Submitted Charge Amount 278571
Total Medical Medicare Allowed Amount 154663.5
Total Medical Medicare Payment Amount 112256
Total Medical Medicare Standardized Payment Amount 118736.79
Average Age Of Beneficiaries 69
Number Of Beneficiaries Age Less65 124
Number Of Beneficiaries Age 65 to 74 265
Number Of Beneficiaries Age 75 to 84 118
Number Of Beneficiaries Age Greater 84 62
Number Of Female Beneficiaries 334
Number Of Male Beneficiaries 235
Number Of Non Hispanic White Beneficiaries 548
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 432
Number Of Beneficiaries With Medicare Medicaid Entitlement 137
Percent Of With Atrial Fibrillation 8
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 5
Percent Of With Cancer 7
Percent Of With Heart Failure 12
Percent Of With Chronic Kidney Disease 18
Percent Of With Chronic Obstructive Pulmonary Disease 11
Percent Of With Depression 21
Percent Of With Diabetes 31
Percent Of With Hyperlipidemia 61
Percent Of With Hypertension 58
Percent Of With Ischemic Heart Disease 33
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 34
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 3
Average HCC Risk Score Of Beneficiaries 1.1274

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