Medicare Facts for Dr. James A. Groff, DO


National Provider Identifier [NPI]: 1912959107
Last Name Of The Provider GROFF
First Name Of The Provider JAMES
Middle Initial Of The Provider A
Credentials Of The Provider DO
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2112 HARRISBURG PIKE
Street Address 2 Of The Provider SUITE 312
City Of The Provider LANCASTER
Zip Code Of The Provider 176043200
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Nephrology
Medicare Participation Indicator Y
Number Of HCPCS 37
Number Of Services 16856
Number Of Medicare Beneficiaries 724
Total Submitted Charge Amount 749251.64
Total Medicare Allowed Amount 299045.84
Total Medicare Payment Amount 229755.41
Total Medicare Standardized Payment Amount 236728.95
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 14596
Number Of Medicare Beneficiaries With Drug Services 71
Total Drug Submitted ChargeAmount 89880
Total Drug Medicare AllowedAmount 36574.24
Total Drug Medicare PaymentAmount 28609.49
Total Drug Medicare Standardized Payment Amount 28609.49
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 34
Number Of Medical Services 2260
Number Of Medicare Beneficiaries With Medical Services 724
Total Medical Submitted Charge Amount 659371.64
Total Medical Medicare Allowed Amount 262471.6
Total Medical Medicare Payment Amount 201145.92
Total Medical Medicare Standardized Payment Amount 208119.46
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 146
Number Of Beneficiaries Age 65 to 74 189
Number Of Beneficiaries Age 75 to 84 244
Number Of Beneficiaries Age Greater 84 145
Number Of Female Beneficiaries 325
Number Of Male Beneficiaries 399
Number Of Non Hispanic White Beneficiaries 606
Number Of Black or African American Beneficiaries 51
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 47
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 559
Number Of Beneficiaries With Medicare Medicaid Entitlement 165
Percent Of With Atrial Fibrillation 32
Percent Of With Alzheimers Disease or Dementia 12
Percent Of With Asthma 10
Percent Of With Cancer 11
Percent Of With Heart Failure 55
Percent Of With Chronic Kidney Disease 75
Percent Of With Chronic Obstructive Pulmonary Disease 23
Percent Of With Depression 28
Percent Of With Diabetes 56
Percent Of With Hyperlipidemia 73
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 64
Percent Of With Osteoporosis 6
Percent Of With Rheumatoid Arthritis Osteoarthritis 35
Percent Of With Schizophrenia Other PsychoticDisorders 6
Percent Of With Stroke 8
Average HCC Risk Score Of Beneficiaries 3.8733

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