National Provider Identifier [NPI]: |
1215933726 |
Last Name Of The Provider |
HOFER |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2816 VEACH RD |
Street Address 2 Of The Provider |
SUITE 403 |
City Of The Provider |
OWENSBORO |
Zip Code Of The Provider |
423036295 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
76 |
Number Of Services |
15039 |
Number Of Medicare Beneficiaries |
893 |
Total Submitted Charge Amount |
641160 |
Total Medicare Allowed Amount |
340632.32 |
Total Medicare Payment Amount |
263677.79 |
Total Medicare Standardized Payment Amount |
287651.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
713 |
Number Of Medicare Beneficiaries With Drug Services |
494 |
Total Drug Submitted ChargeAmount |
39590 |
Total Drug Medicare AllowedAmount |
20721.67 |
Total Drug Medicare PaymentAmount |
19943.63 |
Total Drug Medicare Standardized Payment Amount |
19943.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
14326 |
Number Of Medicare Beneficiaries With Medical Services |
893 |
Total Medical Submitted Charge Amount |
601570 |
Total Medical Medicare Allowed Amount |
319910.65 |
Total Medical Medicare Payment Amount |
243734.16 |
Total Medical Medicare Standardized Payment Amount |
267707.94 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
58 |
Number Of Beneficiaries Age 65 to 74 |
383 |
Number Of Beneficiaries Age 75 to 84 |
307 |
Number Of Beneficiaries Age Greater 84 |
145 |
Number Of Female Beneficiaries |
514 |
Number Of Male Beneficiaries |
379 |
Number Of Non Hispanic White Beneficiaries |
866 |
Number Of Black or African American Beneficiaries |
13 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
0 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
850 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
43 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1112 |