| National Provider Identifier [NPI]: | 1477542199 |
| Last Name Of The Provider | HOFFMAN |
| First Name Of The Provider | MARK |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1125 E SOUTHERN AVE |
| Street Address 2 Of The Provider | SUITE 300 |
| City Of The Provider | MESA |
| Zip Code Of The Provider | 852045045 |
| State Code Of The Provider | AZ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 208 |
| Number Of Services | 35461 |
| Number Of Medicare Beneficiaries | 3389 |
| Total Submitted Charge Amount | 1916133.1 |
| Total Medicare Allowed Amount | 505084.47 |
| Total Medicare Payment Amount | 384243.17 |
| Total Medicare Standardized Payment Amount | 393099.19 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 30699 |
| Number Of Medicare Beneficiaries With Drug Services | 352 |
| Total Drug Submitted ChargeAmount | 46710.6 |
| Total Drug Medicare AllowedAmount | 10458.38 |
| Total Drug Medicare PaymentAmount | 8199.03 |
| Total Drug Medicare Standardized Payment Amount | 8199.03 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 204 |
| Number Of Medical Services | 4762 |
| Number Of Medicare Beneficiaries With Medical Services | 3388 |
| Total Medical Submitted Charge Amount | 1869422.5 |
| Total Medical Medicare Allowed Amount | 494626.09 |
| Total Medical Medicare Payment Amount | 376044.14 |
| Total Medical Medicare Standardized Payment Amount | 384900.16 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 333 |
| Number Of Beneficiaries Age 65 to 74 | 1401 |
| Number Of Beneficiaries Age 75 to 84 | 1087 |
| Number Of Beneficiaries Age Greater 84 | 568 |
| Number Of Female Beneficiaries | 1921 |
| Number Of Male Beneficiaries | 1468 |
| Number Of Non Hispanic White Beneficiaries | 2979 |
| Number Of Black or African American Beneficiaries | 90 |
| Number Of AsianPacific Islander Beneficiaries | 41 |
| Number Of Hispanic Beneficiaries | 167 |
| Number Of American Indian Alaska Native Beneficiaries | 70 |
| Number Of Beneficiaries With Race Not Else where Classified | 42 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3012 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 377 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 19 |
| Percent Of With Heart Failure | 26 |
| Percent Of With Chronic Kidney Disease | 37 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 46 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 15 |
| Average HCC Risk Score Of Beneficiaries | 1.6724 |