National Provider Identifier [NPI]: |
1083670798 |
Last Name Of The Provider |
HOFFMAN |
First Name Of The Provider |
MARC |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1835 FORBES AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
PITTSBURGH |
Zip Code Of The Provider |
152195835 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
8483 |
Number Of Medicare Beneficiaries |
903 |
Total Submitted Charge Amount |
3523380 |
Total Medicare Allowed Amount |
2321392.53 |
Total Medicare Payment Amount |
1791460.46 |
Total Medicare Standardized Payment Amount |
1815949.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
2838 |
Number Of Medicare Beneficiaries With Drug Services |
270 |
Total Drug Submitted ChargeAmount |
2801766 |
Total Drug Medicare AllowedAmount |
1865940.17 |
Total Drug Medicare PaymentAmount |
1454758.35 |
Total Drug Medicare Standardized Payment Amount |
1454758.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
5645 |
Number Of Medicare Beneficiaries With Medical Services |
903 |
Total Medical Submitted Charge Amount |
721614 |
Total Medical Medicare Allowed Amount |
455452.36 |
Total Medical Medicare Payment Amount |
336702.11 |
Total Medical Medicare Standardized Payment Amount |
361191.61 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
59 |
Number Of Beneficiaries Age 65 to 74 |
304 |
Number Of Beneficiaries Age 75 to 84 |
298 |
Number Of Beneficiaries Age Greater 84 |
242 |
Number Of Female Beneficiaries |
570 |
Number Of Male Beneficiaries |
333 |
Number Of Non Hispanic White Beneficiaries |
850 |
Number Of Black or African American Beneficiaries |
32 |
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 |
806 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
97 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.413 |