National Provider Identifier [NPI]: |
1083696983 |
Last Name Of The Provider |
HOFF |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
13014 12TH AVE SW |
Street Address 2 Of The Provider |
|
City Of The Provider |
BURIEN |
Zip Code Of The Provider |
981463110 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
17 |
Number Of Services |
298 |
Number Of Medicare Beneficiaries |
41 |
Total Submitted Charge Amount |
39575 |
Total Medicare Allowed Amount |
22855.55 |
Total Medicare Payment Amount |
15426.48 |
Total Medicare Standardized Payment Amount |
15935.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
42 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
965 |
Total Drug Medicare AllowedAmount |
49.26 |
Total Drug Medicare PaymentAmount |
35.37 |
Total Drug Medicare Standardized Payment Amount |
35.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
13 |
Number Of Medical Services |
256 |
Number Of Medicare Beneficiaries With Medical Services |
41 |
Total Medical Submitted Charge Amount |
38610 |
Total Medical Medicare Allowed Amount |
22806.29 |
Total Medical Medicare Payment Amount |
15391.11 |
Total Medical Medicare Standardized Payment Amount |
15900.14 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
22 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
19 |
Number Of Male Beneficiaries |
22 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
0 |
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 |
27 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
|
Percent Of With Hyperlipidemia |
29 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
|
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
|
Percent Of With Schizophrenia Other PsychoticDisorders |
0 |
Percent Of With Stroke |
0 |
Average HCC Risk Score Of Beneficiaries |
0.8413 |