National Provider Identifier [NPI]: |
1487625141 |
Last Name Of The Provider |
HOFFMANN |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1 NORTHEAST DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
BANGOR |
Zip Code Of The Provider |
044014332 |
State Code Of The Provider |
ME |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
3220 |
Number Of Medicare Beneficiaries |
1989 |
Total Submitted Charge Amount |
382654 |
Total Medicare Allowed Amount |
124807.69 |
Total Medicare Payment Amount |
86445.22 |
Total Medicare Standardized Payment Amount |
90213.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
3220 |
Number Of Medicare Beneficiaries With Medical Services |
1989 |
Total Medical Submitted Charge Amount |
382654 |
Total Medical Medicare Allowed Amount |
124807.69 |
Total Medical Medicare Payment Amount |
86445.22 |
Total Medical Medicare Standardized Payment Amount |
90213.43 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
199 |
Number Of Beneficiaries Age 65 to 74 |
585 |
Number Of Beneficiaries Age 75 to 84 |
729 |
Number Of Beneficiaries Age Greater 84 |
476 |
Number Of Female Beneficiaries |
981 |
Number Of Male Beneficiaries |
1008 |
Number Of Non Hispanic White Beneficiaries |
1945 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
14 |
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
1195 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
794 |
Percent Of With Atrial Fibrillation |
38 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.5538 |