Medicare Facts for Michael Petri, CRNA


National Provider Identifier [NPI]: 1629078878
Last Name Of The Provider PETRI
First Name Of The Provider MICHAEL
Middle Initial Of The Provider
Credentials Of The Provider CRNA
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 200 SE HOSPITAL AVE
Street Address 2 Of The Provider ANESTHESIA DEPARTMENT
City Of The Provider STUART
Zip Code Of The Provider 349942346
State Code Of The Provider FL
Country Code Of The Provider US
Provider Type Of The Provider CRNA
Medicare Participation Indicator Y
Number Of HCPCS 39
Number Of Services 115
Number Of Medicare Beneficiaries 114
Total Submitted Charge Amount 268320
Total Medicare Allowed Amount 33692.23
Total Medicare Payment Amount 26414.69
Total Medicare Standardized Payment Amount 24528.77
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 39
Number Of Medical Services 115
Number Of Medicare Beneficiaries With Medical Services 114
Total Medical Submitted Charge Amount 268320
Total Medical Medicare Allowed Amount 33692.23
Total Medical Medicare Payment Amount 26414.69
Total Medical Medicare Standardized Payment Amount 24528.77
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 23
Number Of Beneficiaries Age 65 to 74 48
Number Of Beneficiaries Age 75 to 84 22
Number Of Beneficiaries Age Greater 84 21
Number Of Female Beneficiaries 55
Number Of Male Beneficiaries 59
Number Of Non Hispanic White Beneficiaries 80
Number Of Black or African American Beneficiaries 22
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 81
Number Of Beneficiaries With Medicare Medicaid Entitlement 33
Percent Of With Atrial Fibrillation 23
Percent Of With Alzheimers Disease or Dementia 16
Percent Of With Asthma 13
Percent Of With Cancer 18
Percent Of With Heart Failure 33
Percent Of With Chronic Kidney Disease 51
Percent Of With Chronic Obstructive Pulmonary Disease 18
Percent Of With Depression 32
Percent Of With Diabetes 44
Percent Of With Hyperlipidemia 72
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 54
Percent Of With Osteoporosis 14
Percent Of With Rheumatoid Arthritis Osteoarthritis 54
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 2.2868

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