National Provider Identifier [NPI]: |
1417952300 |
Last Name Of The Provider |
HOFFMAN |
First Name Of The Provider |
ELIOT |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
13411 PARKER COMMONS BLVD |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
FORT MYERS |
Zip Code Of The Provider |
339124335 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
97 |
Number Of Services |
5809 |
Number Of Medicare Beneficiaries |
1355 |
Total Submitted Charge Amount |
1494144.19 |
Total Medicare Allowed Amount |
754379.57 |
Total Medicare Payment Amount |
567717.6 |
Total Medicare Standardized Payment Amount |
542968.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
389 |
Number Of Medicare Beneficiaries With Drug Services |
89 |
Total Drug Submitted ChargeAmount |
46445 |
Total Drug Medicare AllowedAmount |
18946.66 |
Total Drug Medicare PaymentAmount |
14854.08 |
Total Drug Medicare Standardized Payment Amount |
14854.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
5420 |
Number Of Medicare Beneficiaries With Medical Services |
1355 |
Total Medical Submitted Charge Amount |
1447699.19 |
Total Medical Medicare Allowed Amount |
735432.91 |
Total Medical Medicare Payment Amount |
552863.52 |
Total Medical Medicare Standardized Payment Amount |
528114.8 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
40 |
Number Of Beneficiaries Age 65 to 74 |
470 |
Number Of Beneficiaries Age 75 to 84 |
566 |
Number Of Beneficiaries Age Greater 84 |
279 |
Number Of Female Beneficiaries |
541 |
Number Of Male Beneficiaries |
814 |
Number Of Non Hispanic White Beneficiaries |
1282 |
Number Of Black or African American Beneficiaries |
25 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
1295 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
60 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.5386 |