Medicare Facts for Dr. Lars E. Peterson, MD


National Provider Identifier [NPI]: 1023110640
Last Name Of The Provider PETERSON
First Name Of The Provider LARS
Middle Initial Of The Provider E
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 255 N 30TH ST
Street Address 2 Of The Provider
City Of The Provider LARAMIE
Zip Code Of The Provider 820725140
State Code Of The Provider WY
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 34
Number Of Services 1122
Number Of Medicare Beneficiaries 479
Total Submitted Charge Amount 141843
Total Medicare Allowed Amount 72585.14
Total Medicare Payment Amount 56382.8
Total Medicare Standardized Payment Amount 56043.6
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 34
Number Of Medical Services 1122
Number Of Medicare Beneficiaries With Medical Services 479
Total Medical Submitted Charge Amount 141843
Total Medical Medicare Allowed Amount 72585.14
Total Medical Medicare Payment Amount 56382.8
Total Medical Medicare Standardized Payment Amount 56043.6
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 58
Number Of Beneficiaries Age 65 to 74 169
Number Of Beneficiaries Age 75 to 84 140
Number Of Beneficiaries Age Greater 84 112
Number Of Female Beneficiaries 257
Number Of Male Beneficiaries 222
Number Of Non Hispanic White Beneficiaries 436
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 32
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 387
Number Of Beneficiaries With Medicare Medicaid Entitlement 92
Percent Of With Atrial Fibrillation 17
Percent Of With Alzheimers Disease or Dementia 18
Percent Of With Asthma 10
Percent Of With Cancer 15
Percent Of With Heart Failure 29
Percent Of With Chronic Kidney Disease 32
Percent Of With Chronic Obstructive Pulmonary Disease 32
Percent Of With Depression 31
Percent Of With Diabetes 30
Percent Of With Hyperlipidemia 47
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 37
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 47
Percent Of With Schizophrenia Other PsychoticDisorders 6
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.2714

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