National Provider Identifier [NPI]: |
1730111923 |
Last Name Of The Provider |
HOFFMAN |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3161 L ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SACRAMENTO |
Zip Code Of The Provider |
958165234 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
147 |
Number Of Services |
43492 |
Number Of Medicare Beneficiaries |
2669 |
Total Submitted Charge Amount |
2523114 |
Total Medicare Allowed Amount |
502214.06 |
Total Medicare Payment Amount |
387114.47 |
Total Medicare Standardized Payment Amount |
368184.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
39880 |
Number Of Medicare Beneficiaries With Drug Services |
501 |
Total Drug Submitted ChargeAmount |
74105 |
Total Drug Medicare AllowedAmount |
11602.77 |
Total Drug Medicare PaymentAmount |
9015.48 |
Total Drug Medicare Standardized Payment Amount |
9015.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
137 |
Number Of Medical Services |
3612 |
Number Of Medicare Beneficiaries With Medical Services |
2668 |
Total Medical Submitted Charge Amount |
2449009 |
Total Medical Medicare Allowed Amount |
490611.29 |
Total Medical Medicare Payment Amount |
378098.99 |
Total Medical Medicare Standardized Payment Amount |
359169.04 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
406 |
Number Of Beneficiaries Age 65 to 74 |
1148 |
Number Of Beneficiaries Age 75 to 84 |
766 |
Number Of Beneficiaries Age Greater 84 |
349 |
Number Of Female Beneficiaries |
1699 |
Number Of Male Beneficiaries |
970 |
Number Of Non Hispanic White Beneficiaries |
2025 |
Number Of Black or African American Beneficiaries |
147 |
Number Of AsianPacific Islander Beneficiaries |
249 |
Number Of Hispanic Beneficiaries |
186 |
Number Of American Indian Alaska Native Beneficiaries |
13 |
Number Of Beneficiaries With Race Not Else where Classified |
49 |
Number Of Beneficiaries With Medicare Only Entitlement |
1955 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
714 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2368 |