National Provider Identifier [NPI]: |
1326136789 |
Last Name Of The Provider |
KOFF |
First Name Of The Provider |
RONALD |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
15 SO MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
NEW CASTLE |
Zip Code Of The Provider |
40050 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
3498 |
Number Of Medicare Beneficiaries |
303 |
Total Submitted Charge Amount |
180321.52 |
Total Medicare Allowed Amount |
128172.32 |
Total Medicare Payment Amount |
85266.87 |
Total Medicare Standardized Payment Amount |
98755.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
206 |
Number Of Medicare Beneficiaries With Drug Services |
63 |
Total Drug Submitted ChargeAmount |
7290.79 |
Total Drug Medicare AllowedAmount |
905.69 |
Total Drug Medicare PaymentAmount |
639.44 |
Total Drug Medicare Standardized Payment Amount |
639.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
3292 |
Number Of Medicare Beneficiaries With Medical Services |
303 |
Total Medical Submitted Charge Amount |
173030.73 |
Total Medical Medicare Allowed Amount |
127266.63 |
Total Medical Medicare Payment Amount |
84627.43 |
Total Medical Medicare Standardized Payment Amount |
98115.74 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
79 |
Number Of Beneficiaries Age 65 to 74 |
138 |
Number Of Beneficiaries Age 75 to 84 |
69 |
Number Of Beneficiaries Age Greater 84 |
17 |
Number Of Female Beneficiaries |
149 |
Number Of Male Beneficiaries |
154 |
Number Of Non Hispanic White Beneficiaries |
279 |
Number Of Black or African American Beneficiaries |
|
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 |
218 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
85 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1298 |