National Provider Identifier [NPI]: |
1558455618 |
Last Name Of The Provider |
HOFF |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
999 S FAIRMONT AVE |
Street Address 2 Of The Provider |
SUITE 135 |
City Of The Provider |
LODI |
Zip Code Of The Provider |
952405100 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
120 |
Number Of Services |
10963 |
Number Of Medicare Beneficiaries |
319 |
Total Submitted Charge Amount |
736012.5 |
Total Medicare Allowed Amount |
432735.04 |
Total Medicare Payment Amount |
328363.36 |
Total Medicare Standardized Payment Amount |
323255.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
22 |
Number Of Drug Services |
4245 |
Number Of Medicare Beneficiaries With Drug Services |
265 |
Total Drug Submitted ChargeAmount |
110291 |
Total Drug Medicare AllowedAmount |
47989.08 |
Total Drug Medicare PaymentAmount |
40963.01 |
Total Drug Medicare Standardized Payment Amount |
40963.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
98 |
Number Of Medical Services |
6718 |
Number Of Medicare Beneficiaries With Medical Services |
319 |
Total Medical Submitted Charge Amount |
625721.5 |
Total Medical Medicare Allowed Amount |
384745.96 |
Total Medical Medicare Payment Amount |
287400.35 |
Total Medical Medicare Standardized Payment Amount |
282292.36 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
128 |
Number Of Beneficiaries Age 75 to 84 |
110 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
169 |
Number Of Male Beneficiaries |
150 |
Number Of Non Hispanic White Beneficiaries |
298 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
20 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0055 |