Medicare Facts for Pamela T. Peterson, NP


National Provider Identifier [NPI]: 1255371530
Last Name Of The Provider PETERSON
First Name Of The Provider PAMELA
Middle Initial Of The Provider T
Credentials Of The Provider NP
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 300 W WASHINGTON AVE
Street Address 2 Of The Provider SUITE 300
City Of The Provider JACKSON
Zip Code Of The Provider 492012180
State Code Of The Provider MI
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 17
Number Of Services 321
Number Of Medicare Beneficiaries 273
Total Submitted Charge Amount 45719
Total Medicare Allowed Amount 22112.21
Total Medicare Payment Amount 16724.71
Total Medicare Standardized Payment Amount 20184.13
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 17
Number Of Medical Services 321
Number Of Medicare Beneficiaries With Medical Services 273
Total Medical Submitted Charge Amount 45719
Total Medical Medicare Allowed Amount 22112.21
Total Medical Medicare Payment Amount 16724.71
Total Medical Medicare Standardized Payment Amount 20184.13
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 46
Number Of Beneficiaries Age 65 to 74 111
Number Of Beneficiaries Age 75 to 84 83
Number Of Beneficiaries Age Greater 84 33
Number Of Female Beneficiaries 141
Number Of Male Beneficiaries 132
Number Of Non Hispanic White Beneficiaries 254
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 215
Number Of Beneficiaries With Medicare Medicaid Entitlement 58
Percent Of With Atrial Fibrillation 18
Percent Of With Alzheimers Disease or Dementia 11
Percent Of With Asthma 9
Percent Of With Cancer 8
Percent Of With Heart Failure 33
Percent Of With Chronic Kidney Disease 34
Percent Of With Chronic Obstructive Pulmonary Disease 27
Percent Of With Depression 24
Percent Of With Diabetes 41
Percent Of With Hyperlipidemia 69
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 54
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 40
Percent Of With Schizophrenia Other PsychoticDisorders 6
Percent Of With Stroke 9
Average HCC Risk Score Of Beneficiaries 1.6698

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