Medicare Facts for Kimberly L. Peck, MSW


National Provider Identifier [NPI]: 1215018403
Last Name Of The Provider PECK
First Name Of The Provider KIMBERLY
Middle Initial Of The Provider A
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 550 WASHINGTON ST STE 641
Street Address 2 Of The Provider
City Of The Provider SAN DIEGO
Zip Code Of The Provider 921032229
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider General Surgery
Medicare Participation Indicator Y
Number Of HCPCS 30
Number Of Services 388
Number Of Medicare Beneficiaries 218
Total Submitted Charge Amount 96695.5
Total Medicare Allowed Amount 47563.87
Total Medicare Payment Amount 37231.73
Total Medicare Standardized Payment Amount 36567.99
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 30
Number Of Medical Services 388
Number Of Medicare Beneficiaries With Medical Services 218
Total Medical Submitted Charge Amount 96695.5
Total Medical Medicare Allowed Amount 47563.87
Total Medical Medicare Payment Amount 37231.73
Total Medical Medicare Standardized Payment Amount 36567.99
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 55
Number Of Beneficiaries Age 65 to 74 59
Number Of Beneficiaries Age 75 to 84 55
Number Of Beneficiaries Age Greater 84 49
Number Of Female Beneficiaries 93
Number Of Male Beneficiaries 125
Number Of Non Hispanic White Beneficiaries 137
Number Of Black or African American Beneficiaries 17
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 38
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 108
Number Of Beneficiaries With Medicare Medicaid Entitlement 110
Percent Of With Atrial Fibrillation 28
Percent Of With Alzheimers Disease or Dementia 36
Percent Of With Asthma 11
Percent Of With Cancer 6
Percent Of With Heart Failure 44
Percent Of With Chronic Kidney Disease 43
Percent Of With Chronic Obstructive Pulmonary Disease 26
Percent Of With Depression 41
Percent Of With Diabetes 42
Percent Of With Hyperlipidemia 51
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 48
Percent Of With Osteoporosis 16
Percent Of With Rheumatoid Arthritis Osteoarthritis 41
Percent Of With Schizophrenia Other PsychoticDisorders 22
Percent Of With Stroke 26
Average HCC Risk Score Of Beneficiaries 2.1361

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