National Provider Identifier [NPI]: |
1083654362 |
Last Name Of The Provider |
POFCHER |
First Name Of The Provider |
ERIC |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
21 BELMONT AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
BRATTLEBORO |
Zip Code Of The Provider |
05301 |
State Code Of The Provider |
VT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
1158 |
Number Of Medicare Beneficiaries |
378 |
Total Submitted Charge Amount |
158391.37 |
Total Medicare Allowed Amount |
71585.82 |
Total Medicare Payment Amount |
50691.58 |
Total Medicare Standardized Payment Amount |
51538.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
23 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
159.37 |
Total Drug Medicare AllowedAmount |
43.9 |
Total Drug Medicare PaymentAmount |
30.86 |
Total Drug Medicare Standardized Payment Amount |
30.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
1135 |
Number Of Medicare Beneficiaries With Medical Services |
378 |
Total Medical Submitted Charge Amount |
158232 |
Total Medical Medicare Allowed Amount |
71541.92 |
Total Medical Medicare Payment Amount |
50660.72 |
Total Medical Medicare Standardized Payment Amount |
51507.58 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
81 |
Number Of Beneficiaries Age 65 to 74 |
105 |
Number Of Beneficiaries Age 75 to 84 |
97 |
Number Of Beneficiaries Age Greater 84 |
95 |
Number Of Female Beneficiaries |
198 |
Number Of Male Beneficiaries |
180 |
Number Of Non Hispanic White Beneficiaries |
362 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
203 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
175 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
32 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.3927 |