National Provider Identifier [NPI]: |
1720278500 |
Last Name Of The Provider |
HOFF |
First Name Of The Provider |
JEREMY |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
732 THIMBLE SHOALS BLVD |
Street Address 2 Of The Provider |
SUITE801-A |
City Of The Provider |
NEWPORT NEWS |
Zip Code Of The Provider |
236064218 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
82 |
Number Of Services |
6085 |
Number Of Medicare Beneficiaries |
557 |
Total Submitted Charge Amount |
1155396.73 |
Total Medicare Allowed Amount |
467921.87 |
Total Medicare Payment Amount |
358790.28 |
Total Medicare Standardized Payment Amount |
339077.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
2192 |
Number Of Medicare Beneficiaries With Drug Services |
276 |
Total Drug Submitted ChargeAmount |
40897.76 |
Total Drug Medicare AllowedAmount |
11299.86 |
Total Drug Medicare PaymentAmount |
8831.9 |
Total Drug Medicare Standardized Payment Amount |
8831.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
3893 |
Number Of Medicare Beneficiaries With Medical Services |
557 |
Total Medical Submitted Charge Amount |
1114498.97 |
Total Medical Medicare Allowed Amount |
456622.01 |
Total Medical Medicare Payment Amount |
349958.38 |
Total Medical Medicare Standardized Payment Amount |
330245.51 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
123 |
Number Of Beneficiaries Age 65 to 74 |
210 |
Number Of Beneficiaries Age 75 to 84 |
175 |
Number Of Beneficiaries Age Greater 84 |
49 |
Number Of Female Beneficiaries |
384 |
Number Of Male Beneficiaries |
173 |
Number Of Non Hispanic White Beneficiaries |
458 |
Number Of Black or African American Beneficiaries |
82 |
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 |
470 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
87 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2753 |