National Provider Identifier [NPI]: |
1871538835 |
Last Name Of The Provider |
HOFFMAN |
First Name Of The Provider |
NEAL |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
PA |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1375 N GREEN ST |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
BROWNSBURG |
Zip Code Of The Provider |
461128705 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
657 |
Number Of Medicare Beneficiaries |
341 |
Total Submitted Charge Amount |
91752 |
Total Medicare Allowed Amount |
33944.63 |
Total Medicare Payment Amount |
23470.8 |
Total Medicare Standardized Payment Amount |
30007.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
11 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
248 |
Total Drug Medicare AllowedAmount |
131.53 |
Total Drug Medicare PaymentAmount |
115.48 |
Total Drug Medicare Standardized Payment Amount |
115.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
646 |
Number Of Medicare Beneficiaries With Medical Services |
341 |
Total Medical Submitted Charge Amount |
91504 |
Total Medical Medicare Allowed Amount |
33813.1 |
Total Medical Medicare Payment Amount |
23355.32 |
Total Medical Medicare Standardized Payment Amount |
29892 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
34 |
Number Of Beneficiaries Age 65 to 74 |
144 |
Number Of Beneficiaries Age 75 to 84 |
111 |
Number Of Beneficiaries Age Greater 84 |
52 |
Number Of Female Beneficiaries |
220 |
Number Of Male Beneficiaries |
121 |
Number Of Non Hispanic White Beneficiaries |
307 |
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 |
296 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
45 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1016 |