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Dr. Erik J Petersen

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NPI Number Detailed Information

Provider Information:

Name: Dr. Erik J Petersen
Gender: M
Provider License Number If Given: 101252708

NPI Information:

NPI: 1922210251
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/7/2007

Last Update Date: 12/18/2015

Reputation Report:

Provider Business Mailing Address:

Address: 303 E VANDERBILT WAY
San Bernardino, CA 92408
Phone Number: 8043342496
Fax Number:

Provider Business Practice Location Address:

Address: 303 E VANDERBILT WAY
San Bernardino, CA 92408
Phone Number: 8043342496
Fax Number:

Provider Taxonomy:

Primary: 2084H0002X
Secondary (if any): 2084P0805X
State: CA

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About Dr. Erik J Petersen

Dr. Erik J Petersen (DR. ERIK J PETERSEN ) is A Psychiatry & Neurology Physician in San Bernardino, CA. The NPI Number for Dr. Erik J Petersen is 1922210251.
The current location address for Dr. Erik J Petersen is 303 E VANDERBILT WAY San Bernardino, CA 92408 and the contact number is 8043342496 and fax number is . The mailing address for Dr. Erik J Petersen is 303 E VANDERBILT WAY San Bernardino, CA 92408- 8043342496 (mailing address contact number - 8043342496).
A psychiatrist or neurologist with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Erik J Petersen ?


Answer: The NPI Number for Dr. Erik J Petersen is 1922210251

Where is Dr. Erik J Petersen located?


Answer: Dr. Erik J Petersen is located at 303 E VANDERBILT WAY San Bernardino, CA 92408.

What is the specialty for Dr. Erik J Petersen ?


Answer: The Specialty of Dr. Erik J Petersen is A Psychiatry & Neurology Physician.

Are there any online reviews for Dr. Erik J Petersen ?


Answer: Yes! Check It Now.

Are there any other health care providers in San Bernardino, CA?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Erik J Petersen

Number of HCPCS 4
Number of Medicare Beneficiaries 15
Number of Services 189
Total Submitted Charge Amount 13432.08
Total Medicare Allowed Amount 6189.8
Total Medicare Payment Amount 4938.8
Total Medicare Standardized Payment Amount 4786.54
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 4
Number of Medicare Beneficiaries With Medical 15
Number of Medical Services 189
Total Medical Submitted Charge Amount 13432.08
Total Medical Medicare Allowed Amount 6189.8
Total Medical Medicare Payment Amount 4938.8
Total Medical Medicare Standardized Payment Amount 4786.54
Average Age of Beneficiaries 54
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84 0
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries 0
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified 0
Number of Beneficiaries With Medicare & Medicaid Entitlement 15
Number of Beneficiaries With Medicare Only Entitlement 0
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma 0
Percent (%) of Beneficiaries Identified With Cancer 0
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes
Percent (%) of Beneficiaries Identified With Hyperlipidemia
Percent (%) of Beneficiaries Identified With Hypertension
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0
Average HCC Risk Score of Beneficiaries 1.246

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Psychiatry
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 177
Number of Standardized 30-Day Fills 193
Aggregate Cost Paid for All Claims 35112.87
Number of Day's Supply for All Claims 5540
Number of Medicare Beneficiaries 35
Number of Claims, Including Refills, for Beneficiaries Age 65+ 42
Including Refills, for Beneficiaries Age 65+ 44
Beneficiaries Age 65+ 12650.37
Number of Day's Supply for All Claims for Beneficaries Age 65+ 1174
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 12
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 165
Aggregate Cost Paid for Generic Drugs 4198.58
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 63
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 4505.53
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 114
Aggregate Cost Paid for Claims Filled by 30607.34
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 177
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 35112.87
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 0
by Low-Income Subsidy 0
Total Claims of Opioid Drugs, Including 0
Aggregate Cost Paid for Opioid Drugs 0
Opioid Claims 0
Opioid_Tot_Clms divided by the Tot_Clms 0
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 0
Aggregate Cost Paid for Antibiotic Drugs 0
Antibiotic Claims 0
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 15
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 12389.43
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 53.428571429
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries 18
Number of Male Beneficiaries 17
Number of Non-Hispanic White 17
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 12
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not 0
Only Entitlement
Average Hierarchical Condition Category 1.2446

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