Medicare Facts for Paul D. Pettit


National Provider Identifier [NPI]: 1689663304
Last Name Of The Provider PETTIT
First Name Of The Provider PAUL
Middle Initial Of The Provider D
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 4500 SAN PABLO RD S
Street Address 2 Of The Provider
City Of The Provider JACKSONVILLE
Zip Code Of The Provider 322241865
State Code Of The Provider FL
Country Code Of The Provider US
Provider Type Of The Provider Obstetrics/Gynecology
Medicare Participation Indicator Y
Number Of HCPCS 91
Number Of Services 2962
Number Of Medicare Beneficiaries 369
Total Submitted Charge Amount 292991.09
Total Medicare Allowed Amount 185042.57
Total Medicare Payment Amount 132298.74
Total Medicare Standardized Payment Amount 151697.2
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 2
Number Of Drug Services 1902
Number Of Medicare Beneficiaries With Drug Services 18
Total Drug Submitted ChargeAmount 12529.46
Total Drug Medicare AllowedAmount 9895.94
Total Drug Medicare PaymentAmount 7012.73
Total Drug Medicare Standardized Payment Amount 7012.73
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 89
Number Of Medical Services 1060
Number Of Medicare Beneficiaries With Medical Services 369
Total Medical Submitted Charge Amount 280461.63
Total Medical Medicare Allowed Amount 175146.63
Total Medical Medicare Payment Amount 125286.01
Total Medical Medicare Standardized Payment Amount 144684.47
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 42
Number Of Beneficiaries Age 65 to 74 159
Number Of Beneficiaries Age 75 to 84 133
Number Of Beneficiaries Age Greater 84 35
Number Of Female Beneficiaries
Number Of Male Beneficiaries
Number Of Non Hispanic White Beneficiaries 327
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 19
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 339
Number Of Beneficiaries With Medicare Medicaid Entitlement 30
Percent Of With Atrial Fibrillation 7
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 8
Percent Of With Cancer 9
Percent Of With Heart Failure 7
Percent Of With Chronic Kidney Disease 20
Percent Of With Chronic Obstructive Pulmonary Disease 10
Percent Of With Depression 24
Percent Of With Diabetes 24
Percent Of With Hyperlipidemia 52
Percent Of With Hypertension 61
Percent Of With Ischemic Heart Disease 27
Percent Of With Osteoporosis 15
Percent Of With Rheumatoid Arthritis Osteoarthritis 48
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.1008

Doctor Directory | TOS | twitter | FB | Angel | blog