National Provider Identifier [NPI]: |
1891858312 |
Last Name Of The Provider |
HOFFMAN |
First Name Of The Provider |
LESLIE |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4895 OLENTANGY RIVER RD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
COLUMBUS |
Zip Code Of The Provider |
432141926 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
2408 |
Number Of Medicare Beneficiaries |
218 |
Total Submitted Charge Amount |
121805 |
Total Medicare Allowed Amount |
69539.59 |
Total Medicare Payment Amount |
55254.52 |
Total Medicare Standardized Payment Amount |
57866.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
475 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
15512 |
Total Drug Medicare AllowedAmount |
6577.47 |
Total Drug Medicare PaymentAmount |
5108.92 |
Total Drug Medicare Standardized Payment Amount |
5108.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
1933 |
Number Of Medicare Beneficiaries With Medical Services |
218 |
Total Medical Submitted Charge Amount |
106293 |
Total Medical Medicare Allowed Amount |
62962.12 |
Total Medical Medicare Payment Amount |
50145.6 |
Total Medical Medicare Standardized Payment Amount |
52757.99 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
39 |
Number Of Beneficiaries Age 65 to 74 |
117 |
Number Of Beneficiaries Age 75 to 84 |
45 |
Number Of Beneficiaries Age Greater 84 |
17 |
Number Of Female Beneficiaries |
159 |
Number Of Male Beneficiaries |
59 |
Number Of Non Hispanic White Beneficiaries |
190 |
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 |
190 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
28 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
58 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.185 |