Medicare Facts for Dr. Randolph K. Peterson, MD


National Provider Identifier [NPI]: 1053380204
Last Name Of The Provider PETERSON
First Name Of The Provider RANDOLPH
Middle Initial Of The Provider K
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 6525 FRANCE AVE S
Street Address 2 Of The Provider SUITE 200
City Of The Provider EDINA
Zip Code Of The Provider 554352148
State Code Of The Provider MN
Country Code Of The Provider US
Provider Type Of The Provider Pathology
Medicare Participation Indicator Y
Number Of HCPCS 8
Number Of Services 2227
Number Of Medicare Beneficiaries 154
Total Submitted Charge Amount 462670
Total Medicare Allowed Amount 163917.18
Total Medicare Payment Amount 127592.37
Total Medicare Standardized Payment Amount 116569.86
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 8
Number Of Medical Services 2227
Number Of Medicare Beneficiaries With Medical Services 154
Total Medical Submitted Charge Amount 462670
Total Medical Medicare Allowed Amount 163917.18
Total Medical Medicare Payment Amount 127592.37
Total Medical Medicare Standardized Payment Amount 116569.86
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 12
Number Of Beneficiaries Age 65 to 74 87
Number Of Beneficiaries Age 75 to 84 44
Number Of Beneficiaries Age Greater 84 11
Number Of Female Beneficiaries
Number Of Male Beneficiaries
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 138
Number Of Beneficiaries With Medicare Medicaid Entitlement 16
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer 59
Percent Of With Heart Failure 8
Percent Of With Chronic Kidney Disease 15
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 13
Percent Of With Diabetes 12
Percent Of With Hyperlipidemia 44
Percent Of With Hypertension 46
Percent Of With Ischemic Heart Disease 27
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 19
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.801

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