Medicare Facts for Dr. Peter V. Sefton, MD


National Provider Identifier [NPI]: 1750334819
Last Name Of The Provider SEFTON
First Name Of The Provider PETER
Middle Initial Of The Provider V
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 10025 NE 186TH ST
Street Address 2 Of The Provider
City Of The Provider BOTHELL
Zip Code Of The Provider 980113839
State Code Of The Provider WA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 96
Number Of Services 1744
Number Of Medicare Beneficiaries 181
Total Submitted Charge Amount 138860
Total Medicare Allowed Amount 74032.87
Total Medicare Payment Amount 55626.57
Total Medicare Standardized Payment Amount 53747.58
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 8
Number Of Drug Services 90
Number Of Medicare Beneficiaries With Drug Services 54
Total Drug Submitted ChargeAmount 2807
Total Drug Medicare AllowedAmount 1829.96
Total Drug Medicare PaymentAmount 1749.96
Total Drug Medicare Standardized Payment Amount 1749.96
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 88
Number Of Medical Services 1654
Number Of Medicare Beneficiaries With Medical Services 181
Total Medical Submitted Charge Amount 136053
Total Medical Medicare Allowed Amount 72202.91
Total Medical Medicare Payment Amount 53876.61
Total Medical Medicare Standardized Payment Amount 51997.62
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 26
Number Of Beneficiaries Age 65 to 74 86
Number Of Beneficiaries Age 75 to 84 51
Number Of Beneficiaries Age Greater 84 18
Number Of Female Beneficiaries 69
Number Of Male Beneficiaries 112
Number Of Non Hispanic White Beneficiaries 167
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 0
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 156
Number Of Beneficiaries With Medicare Medicaid Entitlement 25
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer 8
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 16
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 14
Percent Of With Diabetes 23
Percent Of With Hyperlipidemia 31
Percent Of With Hypertension 43
Percent Of With Ischemic Heart Disease 23
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 22
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.8503

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