Medicare Facts for Dr. Lori A. Witter, MD


National Provider Identifier [NPI]: 1164474268
Last Name Of The Provider WITTER
First Name Of The Provider LORI
Middle Initial Of The Provider E
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 3730 W 4700 S
Street Address 2 Of The Provider
City Of The Provider WEST VALLEY CITY
Zip Code Of The Provider 841183457
State Code Of The Provider UT
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 22
Number Of Services 266
Number Of Medicare Beneficiaries 83
Total Submitted Charge Amount 35057
Total Medicare Allowed Amount 18589.49
Total Medicare Payment Amount 11625.15
Total Medicare Standardized Payment Amount 12269.11
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 21
Number Of Medicare Beneficiaries With Drug Services 20
Total Drug Submitted ChargeAmount 1363
Total Drug Medicare AllowedAmount 776.93
Total Drug Medicare PaymentAmount 761.38
Total Drug Medicare Standardized Payment Amount 761.38
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 18
Number Of Medical Services 245
Number Of Medicare Beneficiaries With Medical Services 83
Total Medical Submitted Charge Amount 33694
Total Medical Medicare Allowed Amount 17812.56
Total Medical Medicare Payment Amount 10863.77
Total Medical Medicare Standardized Payment Amount 11507.73
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 47
Number Of Beneficiaries Age 75 to 84 22
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 69
Number Of Male Beneficiaries 14
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 71
Number Of Beneficiaries With Medicare Medicaid Entitlement 12
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 28
Percent Of With Diabetes 28
Percent Of With Hyperlipidemia 63
Percent Of With Hypertension 65
Percent Of With Ischemic Heart Disease 18
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 29
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.8075

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