National Provider Identifier [NPI]: |
1023025624 |
Last Name Of The Provider |
HOFFMANN |
First Name Of The Provider |
LINDA |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
N.P. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
304 SHORTER AVE NW |
Street Address 2 Of The Provider |
SUITE 102 |
City Of The Provider |
ROME |
Zip Code Of The Provider |
301654290 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
2102 |
Number Of Medicare Beneficiaries |
252 |
Total Submitted Charge Amount |
125888 |
Total Medicare Allowed Amount |
58447.31 |
Total Medicare Payment Amount |
40944.58 |
Total Medicare Standardized Payment Amount |
52292.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
496 |
Number Of Medicare Beneficiaries With Drug Services |
121 |
Total Drug Submitted ChargeAmount |
6051 |
Total Drug Medicare AllowedAmount |
2458.82 |
Total Drug Medicare PaymentAmount |
2232.61 |
Total Drug Medicare Standardized Payment Amount |
2232.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
1606 |
Number Of Medicare Beneficiaries With Medical Services |
252 |
Total Medical Submitted Charge Amount |
119837 |
Total Medical Medicare Allowed Amount |
55988.49 |
Total Medical Medicare Payment Amount |
38711.97 |
Total Medical Medicare Standardized Payment Amount |
50059.67 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
74 |
Number Of Beneficiaries Age 65 to 74 |
117 |
Number Of Beneficiaries Age 75 to 84 |
47 |
Number Of Beneficiaries Age Greater 84 |
14 |
Number Of Female Beneficiaries |
208 |
Number Of Male Beneficiaries |
44 |
Number Of Non Hispanic White Beneficiaries |
216 |
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 |
183 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
69 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0879 |