National Provider Identifier [NPI]: |
1114919776 |
Last Name Of The Provider |
POFFENBERGER |
First Name Of The Provider |
RODNEY |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1234 FRANKLIN RD SW |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROANOKE |
Zip Code Of The Provider |
240164606 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
76 |
Number Of Services |
9800 |
Number Of Medicare Beneficiaries |
1448 |
Total Submitted Charge Amount |
682564 |
Total Medicare Allowed Amount |
605320.54 |
Total Medicare Payment Amount |
448068.53 |
Total Medicare Standardized Payment Amount |
458362.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1986 |
Number Of Medicare Beneficiaries With Drug Services |
57 |
Total Drug Submitted ChargeAmount |
147032 |
Total Drug Medicare AllowedAmount |
133789.08 |
Total Drug Medicare PaymentAmount |
104056.67 |
Total Drug Medicare Standardized Payment Amount |
104056.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
7814 |
Number Of Medicare Beneficiaries With Medical Services |
1448 |
Total Medical Submitted Charge Amount |
535532 |
Total Medical Medicare Allowed Amount |
471531.46 |
Total Medical Medicare Payment Amount |
344011.86 |
Total Medical Medicare Standardized Payment Amount |
354306.04 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
68 |
Number Of Beneficiaries Age 65 to 74 |
637 |
Number Of Beneficiaries Age 75 to 84 |
550 |
Number Of Beneficiaries Age Greater 84 |
193 |
Number Of Female Beneficiaries |
266 |
Number Of Male Beneficiaries |
1182 |
Number Of Non Hispanic White Beneficiaries |
1337 |
Number Of Black or African American Beneficiaries |
81 |
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 |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
1390 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
58 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
24 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0837 |