National Provider Identifier [NPI]: |
1174585665 |
Last Name Of The Provider |
HOFFMANN |
First Name Of The Provider |
LEONARD |
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 |
1101 HIGHWAY K |
Street Address 2 Of The Provider |
|
City Of The Provider |
O FALLON |
Zip Code Of The Provider |
633668431 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
71 |
Number Of Services |
1424 |
Number Of Medicare Beneficiaries |
414 |
Total Submitted Charge Amount |
145477 |
Total Medicare Allowed Amount |
108988.06 |
Total Medicare Payment Amount |
75354.8 |
Total Medicare Standardized Payment Amount |
76986.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
46 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
1482 |
Total Drug Medicare AllowedAmount |
560.23 |
Total Drug Medicare PaymentAmount |
513.81 |
Total Drug Medicare Standardized Payment Amount |
513.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
1378 |
Number Of Medicare Beneficiaries With Medical Services |
414 |
Total Medical Submitted Charge Amount |
143995 |
Total Medical Medicare Allowed Amount |
108427.83 |
Total Medical Medicare Payment Amount |
74840.99 |
Total Medical Medicare Standardized Payment Amount |
76472.7 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
54 |
Number Of Beneficiaries Age 65 to 74 |
173 |
Number Of Beneficiaries Age 75 to 84 |
111 |
Number Of Beneficiaries Age Greater 84 |
76 |
Number Of Female Beneficiaries |
224 |
Number Of Male Beneficiaries |
190 |
Number Of Non Hispanic White Beneficiaries |
392 |
Number Of Black or African American Beneficiaries |
11 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
0 |
Number Of Beneficiaries With Medicare Only Entitlement |
383 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
31 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1407 |