National Provider Identifier [NPI]: |
1538165675 |
Last Name Of The Provider |
HOFFMAN |
First Name Of The Provider |
DAVID |
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 |
9090 WILSHIRE BLVD |
Street Address 2 Of The Provider |
STE 200 |
City Of The Provider |
BEVERLY HILLS |
Zip Code Of The Provider |
902111850 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
63947 |
Number Of Medicare Beneficiaries |
595 |
Total Submitted Charge Amount |
1507918.79 |
Total Medicare Allowed Amount |
648406.54 |
Total Medicare Payment Amount |
505031.31 |
Total Medicare Standardized Payment Amount |
487711.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
59205 |
Number Of Medicare Beneficiaries With Drug Services |
104 |
Total Drug Submitted ChargeAmount |
593528.79 |
Total Drug Medicare AllowedAmount |
329194.06 |
Total Drug Medicare PaymentAmount |
256754.56 |
Total Drug Medicare Standardized Payment Amount |
256754.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
4742 |
Number Of Medicare Beneficiaries With Medical Services |
595 |
Total Medical Submitted Charge Amount |
914390 |
Total Medical Medicare Allowed Amount |
319212.48 |
Total Medical Medicare Payment Amount |
248276.75 |
Total Medical Medicare Standardized Payment Amount |
230956.49 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
57 |
Number Of Beneficiaries Age 65 to 74 |
239 |
Number Of Beneficiaries Age 75 to 84 |
178 |
Number Of Beneficiaries Age Greater 84 |
121 |
Number Of Female Beneficiaries |
303 |
Number Of Male Beneficiaries |
292 |
Number Of Non Hispanic White Beneficiaries |
469 |
Number Of Black or African American Beneficiaries |
51 |
Number Of AsianPacific Islander Beneficiaries |
30 |
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
479 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
116 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
37 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
2.169 |