National Provider Identifier [NPI]: |
1972634541 |
Last Name Of The Provider |
HOFFMANN |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1485 37TH ST |
Street Address 2 Of The Provider |
SUITE 107 |
City Of The Provider |
VERO BEACH |
Zip Code Of The Provider |
329606500 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
85 |
Number Of Services |
3332 |
Number Of Medicare Beneficiaries |
774 |
Total Submitted Charge Amount |
491666.81 |
Total Medicare Allowed Amount |
141191.98 |
Total Medicare Payment Amount |
110338.42 |
Total Medicare Standardized Payment Amount |
108136.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
2103 |
Number Of Medicare Beneficiaries With Drug Services |
55 |
Total Drug Submitted ChargeAmount |
3807.5 |
Total Drug Medicare AllowedAmount |
920.76 |
Total Drug Medicare PaymentAmount |
721.85 |
Total Drug Medicare Standardized Payment Amount |
721.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
82 |
Number Of Medical Services |
1229 |
Number Of Medicare Beneficiaries With Medical Services |
774 |
Total Medical Submitted Charge Amount |
487859.31 |
Total Medical Medicare Allowed Amount |
140271.22 |
Total Medical Medicare Payment Amount |
109616.57 |
Total Medical Medicare Standardized Payment Amount |
107414.62 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
97 |
Number Of Beneficiaries Age 65 to 74 |
364 |
Number Of Beneficiaries Age 75 to 84 |
247 |
Number Of Beneficiaries Age Greater 84 |
66 |
Number Of Female Beneficiaries |
438 |
Number Of Male Beneficiaries |
336 |
Number Of Non Hispanic White Beneficiaries |
666 |
Number Of Black or African American Beneficiaries |
77 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
693 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
81 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
34 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.5686 |