National Provider Identifier [NPI]: |
1407848021 |
Last Name Of The Provider |
HOFFMAN |
First Name Of The Provider |
ERIC |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9602 STOCKDALE HWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
BAKERSFIELD |
Zip Code Of The Provider |
933113618 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
156 |
Number Of Services |
5618 |
Number Of Medicare Beneficiaries |
1999 |
Total Submitted Charge Amount |
433452 |
Total Medicare Allowed Amount |
133523.36 |
Total Medicare Payment Amount |
99803.38 |
Total Medicare Standardized Payment Amount |
98805.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
156 |
Number Of Medical Services |
5618 |
Number Of Medicare Beneficiaries With Medical Services |
1999 |
Total Medical Submitted Charge Amount |
433452 |
Total Medical Medicare Allowed Amount |
133523.36 |
Total Medical Medicare Payment Amount |
99803.38 |
Total Medical Medicare Standardized Payment Amount |
98805.23 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
550 |
Number Of Beneficiaries Age 65 to 74 |
788 |
Number Of Beneficiaries Age 75 to 84 |
447 |
Number Of Beneficiaries Age Greater 84 |
214 |
Number Of Female Beneficiaries |
1216 |
Number Of Male Beneficiaries |
783 |
Number Of Non Hispanic White Beneficiaries |
226 |
Number Of Black or African American Beneficiaries |
31 |
Number Of AsianPacific Islander Beneficiaries |
222 |
Number Of Hispanic Beneficiaries |
1495 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
258 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1741 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
57 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.6932 |