Medicare Facts for Walter Pedersen


National Provider Identifier [NPI]: 1780671909
Last Name Of The Provider PEDERSEN
First Name Of The Provider WALTER
Middle Initial Of The Provider J
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider SUNNY ISLE PROFESSIONAL BUILDING
Street Address 2 Of The Provider SUITE 3-F
City Of The Provider ST. CROIX
Zip Code Of The Provider 008204423
State Code Of The Provider VI
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 93
Number Of Services 1217
Number Of Medicare Beneficiaries 323
Total Submitted Charge Amount 234475.93
Total Medicare Allowed Amount 120763.93
Total Medicare Payment Amount 86229.38
Total Medicare Standardized Payment Amount 86160.87
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 66
Number Of Medicare Beneficiaries With Drug Services 24
Total Drug Submitted ChargeAmount 1786.04
Total Drug Medicare AllowedAmount 829.52
Total Drug Medicare PaymentAmount 650.33
Total Drug Medicare Standardized Payment Amount 650.33
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 90
Number Of Medical Services 1151
Number Of Medicare Beneficiaries With Medical Services 323
Total Medical Submitted Charge Amount 232689.89
Total Medical Medicare Allowed Amount 119934.41
Total Medical Medicare Payment Amount 85579.05
Total Medical Medicare Standardized Payment Amount 85510.54
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 41
Number Of Beneficiaries Age 65 to 74 163
Number Of Beneficiaries Age 75 to 84 94
Number Of Beneficiaries Age Greater 84 25
Number Of Female Beneficiaries 199
Number Of Male Beneficiaries 124
Number Of Non Hispanic White Beneficiaries 63
Number Of Black or African American Beneficiaries 195
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 54
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation 4
Percent Of With Alzheimers Disease or Dementia 5
Percent Of With Asthma
Percent Of With Cancer 11
Percent Of With Heart Failure 9
Percent Of With Chronic Kidney Disease 14
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 5
Percent Of With Diabetes 41
Percent Of With Hyperlipidemia 38
Percent Of With Hypertension 63
Percent Of With Ischemic Heart Disease 18
Percent Of With Osteoporosis 4
Percent Of With Rheumatoid Arthritis Osteoarthritis 36
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0512

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