National Provider Identifier [NPI]: |
1598745994 |
Last Name Of The Provider |
TRYGSTAD |
First Name Of The Provider |
AARON |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
14655 GALAXIE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
APPLE VALLEY |
Zip Code Of The Provider |
551248575 |
State Code Of The Provider |
MN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
98 |
Number Of Services |
2335 |
Number Of Medicare Beneficiaries |
378 |
Total Submitted Charge Amount |
151921 |
Total Medicare Allowed Amount |
73052.91 |
Total Medicare Payment Amount |
54786.86 |
Total Medicare Standardized Payment Amount |
56121.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
287 |
Number Of Medicare Beneficiaries With Drug Services |
84 |
Total Drug Submitted ChargeAmount |
12020 |
Total Drug Medicare AllowedAmount |
8488.57 |
Total Drug Medicare PaymentAmount |
7147.99 |
Total Drug Medicare Standardized Payment Amount |
7147.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
86 |
Number Of Medical Services |
2048 |
Number Of Medicare Beneficiaries With Medical Services |
378 |
Total Medical Submitted Charge Amount |
139901 |
Total Medical Medicare Allowed Amount |
64564.34 |
Total Medical Medicare Payment Amount |
47638.87 |
Total Medical Medicare Standardized Payment Amount |
48973.52 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
81 |
Number Of Beneficiaries Age 65 to 74 |
149 |
Number Of Beneficiaries Age 75 to 84 |
111 |
Number Of Beneficiaries Age Greater 84 |
37 |
Number Of Female Beneficiaries |
202 |
Number Of Male Beneficiaries |
176 |
Number Of Non Hispanic White Beneficiaries |
355 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
298 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
80 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
30 |
Percent Of With Hypertension |
45 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
26 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0099 |