National Provider Identifier [NPI]: |
1790709681 |
Last Name Of The Provider |
LOEFFLER |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
869 N CHERRY ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
TULARE |
Zip Code Of The Provider |
932742207 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Radiation Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
240 |
Number Of Services |
15277 |
Number Of Medicare Beneficiaries |
5055 |
Total Submitted Charge Amount |
3292883.95 |
Total Medicare Allowed Amount |
535453.11 |
Total Medicare Payment Amount |
415763.35 |
Total Medicare Standardized Payment Amount |
407946.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
610 |
Number Of Medicare Beneficiaries With Drug Services |
123 |
Total Drug Submitted ChargeAmount |
49900 |
Total Drug Medicare AllowedAmount |
1162.63 |
Total Drug Medicare PaymentAmount |
864.26 |
Total Drug Medicare Standardized Payment Amount |
864.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
238 |
Number Of Medical Services |
14667 |
Number Of Medicare Beneficiaries With Medical Services |
5052 |
Total Medical Submitted Charge Amount |
3242983.95 |
Total Medical Medicare Allowed Amount |
534290.48 |
Total Medical Medicare Payment Amount |
414899.09 |
Total Medical Medicare Standardized Payment Amount |
407082.32 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
966 |
Number Of Beneficiaries Age 65 to 74 |
1897 |
Number Of Beneficiaries Age 75 to 84 |
1442 |
Number Of Beneficiaries Age Greater 84 |
750 |
Number Of Female Beneficiaries |
2937 |
Number Of Male Beneficiaries |
2118 |
Number Of Non Hispanic White Beneficiaries |
3233 |
Number Of Black or African American Beneficiaries |
218 |
Number Of AsianPacific Islander Beneficiaries |
150 |
Number Of Hispanic Beneficiaries |
1359 |
Number Of American Indian Alaska Native Beneficiaries |
54 |
Number Of Beneficiaries With Race Not Else where Classified |
41 |
Number Of Beneficiaries With Medicare Only Entitlement |
2792 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
2263 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.7657 |