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 |