| National Provider Identifier [NPI]: | 1629075718 |
| Last Name Of The Provider | HOFER |
| First Name Of The Provider | GLENN |
| 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 | 1640 E ROSEVILLE PARKWAY |
| Street Address 2 Of The Provider | #100 |
| City Of The Provider | ROSEVILLE |
| Zip Code Of The Provider | 95661 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Interventional Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 164 |
| Number Of Services | 21917 |
| Number Of Medicare Beneficiaries | 5802 |
| Total Submitted Charge Amount | 1938256.9 |
| Total Medicare Allowed Amount | 463993.53 |
| Total Medicare Payment Amount | 357979.45 |
| Total Medicare Standardized Payment Amount | 339606 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 13253 |
| Number Of Medicare Beneficiaries With Drug Services | 149 |
| Total Drug Submitted ChargeAmount | 14633 |
| Total Drug Medicare AllowedAmount | 2573.62 |
| Total Drug Medicare PaymentAmount | 2016.3 |
| Total Drug Medicare Standardized Payment Amount | 2016.3 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 160 |
| Number Of Medical Services | 8664 |
| Number Of Medicare Beneficiaries With Medical Services | 5802 |
| Total Medical Submitted Charge Amount | 1923623.9 |
| Total Medical Medicare Allowed Amount | 461419.91 |
| Total Medical Medicare Payment Amount | 355963.15 |
| Total Medical Medicare Standardized Payment Amount | 337589.7 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 836 |
| Number Of Beneficiaries Age 65 to 74 | 2416 |
| Number Of Beneficiaries Age 75 to 84 | 1675 |
| Number Of Beneficiaries Age Greater 84 | 875 |
| Number Of Female Beneficiaries | 3590 |
| Number Of Male Beneficiaries | 2212 |
| Number Of Non Hispanic White Beneficiaries | 4782 |
| Number Of Black or African American Beneficiaries | 204 |
| Number Of AsianPacific Islander Beneficiaries | 292 |
| Number Of Hispanic Beneficiaries | 365 |
| Number Of American Indian Alaska Native Beneficiaries | 61 |
| Number Of Beneficiaries With Race Not Else where Classified | 98 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4451 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1351 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 24 |
| Percent Of With Chronic Kidney Disease | 29 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 21 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 55 |
| Percent Of With Hypertension | 69 |
| Percent Of With Ischemic Heart Disease | 33 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.3934 |