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Nathan Randall Peterson

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NPI Number Detailed Information

Provider Information:

Name: Nathan Randall Peterson
Gender: M
Provider License Number If Given: 39020000X

NPI Information:

NPI: 1053459867
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 2/2/2007

Last Update Date: 7/8/2007

Provider Business Mailing Address:

Address: 573 TARKILN OAK CIR
Pensacola, FL 32506
Phone Number: 8504926381
Fax Number:

Provider Business Practice Location Address:

Address: SANTA MARGARITA
Camp Penleton, CA 92055
Phone Number: 7607251288
Fax Number:

Provider Taxonomy:

Primary: 390200000X
Secondary (if any):
State: CA

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About Nathan Randall Peterson

Nathan Randall Peterson ( NATHAN RANDALL PETERSON ) is An Student in an Organized Health Care Education/Training Program Physician in Camp Penleton, CA. The NPI Number for Nathan Randall Peterson is 1053459867.
The current location address for Nathan Randall Peterson is SANTA MARGARITA Camp Penleton, CA 92055 and the contact number is 8504926381 and fax number is . The mailing address for Nathan Randall Peterson is 573 TARKILN OAK CIR Pensacola, FL 32506- 7607251288 (mailing address contact number - 8504926381).
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Provider Business Location on Map

FAQs:

What is the NPI Number for Nathan Randall Peterson ?


Answer: The NPI Number for Nathan Randall Peterson is 1053459867

Where is Nathan Randall Peterson located?


Answer: Nathan Randall Peterson is located at SANTA MARGARITA Camp Penleton, CA 92055.

What is the specialty for Nathan Randall Peterson ?


Answer: The Specialty of Nathan Randall Peterson is An Student in an Organized Health Care Education/Training Program Physician.

Are there any online reviews for Nathan Randall Peterson ?


Answer: Not yet!

Are there any other health care providers in Camp Penleton, 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 Nathan Randall Peterson

Number of HCPCS 110
Number of Medicare Beneficiaries 1338
Number of Services 12902
Total Submitted Charge Amount 1244377.5
Total Medicare Allowed Amount 976071.62
Total Medicare Payment Amount 721955.11
Total Medicare Standardized Payment Amount 725352.43
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 4
Number of Medicare Beneficiaries With Drug Services 91
Number of Drug Services 2748
Total Drug Submitted Charge Amount 30260.05
Total Drug Medicare Allowed Amount 25245.51
Total Drug Medicare Payment Amount 19681.55
Total Drug Medicare Standardized Payment Amount 19288.09
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 106
Number of Medicare Beneficiaries With Medical 1338
Number of Medical Services 10154
Total Medical Submitted Charge Amount 1214117.45
Total Medical Medicare Allowed Amount 950826.11
Total Medical Medicare Payment Amount 702273.56
Total Medical Medicare Standardized Payment Amount 706064.34
Average Age of Beneficiaries 76
Number of Beneficiaries Age Less 65 21
Number of Beneficiaries Age 65 to 74 573
Number of Beneficiaries Age 75 to 84 580
Number of Beneficiaries Age Greater 84 164
Number of Female Beneficiaries 578
Number of Male Beneficiaries 760
Number of Non-Hispanic White Beneficiaries 1276
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries 28
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified 21
Number of Beneficiaries With Medicare & Medicaid Entitlement 38
Number of Beneficiaries With Medicare Only Entitlement 1300
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.12
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.09
Percent (%) of Beneficiaries Identified With Asthma 0.05
Percent (%) of Beneficiaries Identified With Cancer 0.1
Percent (%) of Beneficiaries Identified With Heart Failure 0.19
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.31
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.17
Percent (%) of Beneficiaries Identified With Depression 0.12
Percent (%) of Beneficiaries Identified With Diabetes 0.33
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.6
Percent (%) of Beneficiaries Identified With Hypertension 0.67
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.34
Percent (%) of Beneficiaries Identified With Osteoporosis 0.07
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.39
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.04
Average HCC Risk Score of Beneficiaries 1.0385

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 Dermatology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 1038
Number of Standardized 30-Day Fills 1207.9333333
Aggregate Cost Paid for All Claims 590099.4
Number of Day's Supply for All Claims 31436
Number of Medicare Beneficiaries 435
Number of Claims, Including Refills, for Beneficiaries Age 65+ 968
Including Refills, for Beneficiaries Age 65+ 1126.7333333
Beneficiaries Age 65+ 332159.1
Number of Day's Supply for All Claims for Beneficaries Age 65+ 29251
Number of Medicare Beneficiaries Age 65+ 417
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 96
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 942
Aggregate Cost Paid for Generic Drugs 27098.03
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 470
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 412327.37
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 568
Aggregate Cost Paid for Claims Filled by 177772.03
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 185
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 514451.99
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 853
by Low-Income Subsidy 75647.41
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 89
Aggregate Cost Paid for Antibiotic Drugs 3850.29
Antibiotic Claims 53
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 0
Average Age of Beneficiaries 75.126436782
Number of Beneficiaries Age Less Than 65 18
Number of Beneficiaries Age 65 to 74 192
Number of Beneficiaries Age 75 to 84 181
Number of Female Beneficiaries 198
Number of Male Beneficiaries 237
Number of Non-Hispanic White 413
Number of Black or African American 0
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 13
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement 384
Average Hierarchical Condition Category 1.1814080843

More Providers in Camp Penleton , CA

Nathan Randall Peterson
Student in an Organized Health Care Education/Training Program
NPI Number: 1053459867
Address: SANTA MARGARITA Camp Penleton, CA 92055 , Phone: 7607251288

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