National Provider Identifier [NPI]: |
1902907942 |
Last Name Of The Provider |
HOFFMAN |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1712 AMHERST STREET |
Street Address 2 Of The Provider |
|
City Of The Provider |
WINCHESTER |
Zip Code Of The Provider |
226012807 |
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 |
81 |
Number Of Services |
3570 |
Number Of Medicare Beneficiaries |
753 |
Total Submitted Charge Amount |
664121.14 |
Total Medicare Allowed Amount |
246980.32 |
Total Medicare Payment Amount |
180338.07 |
Total Medicare Standardized Payment Amount |
186939.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
188 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
129117 |
Total Drug Medicare AllowedAmount |
36196.39 |
Total Drug Medicare PaymentAmount |
28328.89 |
Total Drug Medicare Standardized Payment Amount |
28328.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
78 |
Number Of Medical Services |
3382 |
Number Of Medicare Beneficiaries With Medical Services |
753 |
Total Medical Submitted Charge Amount |
535004.14 |
Total Medical Medicare Allowed Amount |
210783.93 |
Total Medical Medicare Payment Amount |
152009.18 |
Total Medical Medicare Standardized Payment Amount |
158610.35 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
52 |
Number Of Beneficiaries Age 65 to 74 |
342 |
Number Of Beneficiaries Age 75 to 84 |
270 |
Number Of Beneficiaries Age Greater 84 |
89 |
Number Of Female Beneficiaries |
210 |
Number Of Male Beneficiaries |
543 |
Number Of Non Hispanic White Beneficiaries |
713 |
Number Of Black or African American Beneficiaries |
21 |
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 |
661 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
92 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2416 |