Jerald Miles Petersen

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NPI Number Detailed Information

Provider Information:

Name:	Jerald Miles Petersen
Gender:	M
Provider License Number If Given:	64866

NPI Information:

NPI:	1649209032
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	6/30/2006
Last Update Date:	2/13/2022

Provider Business Mailing Address:

Address:	1275 LINDOKKEN RD Mount Horeb, WI 53572
Phone Number:
Fax Number:

Provider Business Practice Location Address:

Address:	1275 LINDOKKEN RD STE 315 Mount Horeb, WI 53572
Phone Number:	0
Fax Number:

Provider Taxonomy:

Primary:	208M00000X
Secondary (if any):
State:	WI

Top Doctors in WI

About Jerald Miles Petersen

Jerald Miles Petersen ( JERALD MILES PETERSEN ) is Hospitalists Hospitalist Physician in Mount Horeb, WI. The NPI Number for Jerald Miles Petersen is 1649209032.

The current location address for Jerald Miles Petersen is 1275 LINDOKKEN RD STE 315 Mount Horeb, WI 53572 and the contact number is and fax number is . The mailing address for Jerald Miles Petersen is 1275 LINDOKKEN RD Mount Horeb, WI 53572- 0 (mailing address contact number - ).

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Provider Business Location on Map

FAQs:

What is the NPI Number for Jerald Miles Petersen ?

Answer: The NPI Number for Jerald Miles Petersen is 1649209032

Where is Jerald Miles Petersen located?

Answer: Jerald Miles Petersen is located at 1275 LINDOKKEN RD STE 315 Mount Horeb, WI 53572.

What is the specialty for Jerald Miles Petersen ?

Answer: The Specialty of Jerald Miles Petersen is Hospitalists Hospitalist Physician.

Are there any online reviews for Jerald Miles Petersen ?

Answer: Not yet!

Are there any other health care providers in Mount Horeb, WI?

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 Jerald Miles Petersen

Number of HCPCS	20
Number of Medicare Beneficiaries	156
Number of Services	361
Total Submitted Charge Amount	139991
Total Medicare Allowed Amount	29254.02
Total Medicare Payment Amount	22694.29
Total Medicare Standardized Payment Amount	23478.94
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	20
Number of Medicare Beneficiaries With Medical	156
Number of Medical Services	361
Total Medical Submitted Charge Amount	139991
Total Medical Medicare Allowed Amount	29254.02
Total Medical Medicare Payment Amount	22694.29
Total Medical Medicare Standardized Payment Amount	23478.94
Average Age of Beneficiaries	75
Number of Beneficiaries Age Less 65	22
Number of Beneficiaries Age 65 to 74	48
Number of Beneficiaries Age 75 to 84	43
Number of Beneficiaries Age Greater 84	43
Number of Female Beneficiaries	87
Number of Male Beneficiaries	69
Number of Non-Hispanic White Beneficiaries	143
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement	36
Number of Beneficiaries With Medicare Only Entitlement	120
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.29
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.3
Percent (%) of Beneficiaries Identified With Asthma	0.16
Percent (%) of Beneficiaries Identified With Cancer	0.16
Percent (%) of Beneficiaries Identified With Heart Failure	0.5
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.69
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.27
Percent (%) of Beneficiaries Identified With Depression	0.47
Percent (%) of Beneficiaries Identified With Diabetes	0.45
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.72
Percent (%) of Beneficiaries Identified With Hypertension	0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.66
Percent (%) of Beneficiaries Identified With Osteoporosis	0.15
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.46
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke	0.11
Average HCC Risk Score of Beneficiaries	2.4871

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	Hospitalist
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	102
Number of Standardized 30-Day Fills	121.46666667
Aggregate Cost Paid for All Claims	2897.34
Number of Day's Supply for All Claims	3002
Number of Medicare Beneficiaries	45
Number of Claims, Including Refills, for Beneficiaries Age 65+	76
Including Refills, for Beneficiaries Age 65+	91.466666667
Beneficiaries Age 65+	2145
Number of Day's Supply for All Claims for Beneficaries Age 65+	2336
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst	*
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	96
Aggregate Cost Paid for Generic Drugs	1707.4
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst	#
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	32
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	1038.17
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	70
Aggregate Cost Paid for Claims Filled by	1859.17
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	57
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	1777.65
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	45
by Low-Income Subsidy	1119.69
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	12
Aggregate Cost Paid for Antibiotic Drugs	176.08
Antibiotic Claims
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst	*
Including Refills, for Beneficiaries Age 65+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries	73.755555556
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	25
Number of Male Beneficiaries	20
Number of Non-Hispanic White	39
Number of Black or African American
Number of Asian Pacific Islander	0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not	0
Only Entitlement	27
Average Hierarchical Condition Category	2.5719658338

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