National Provider Identifier [NPI]: |
1699715607 |
Last Name Of The Provider |
CAPLAN |
First Name Of The Provider |
RICKY |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9330 PARK WEST BLVD |
Street Address 2 Of The Provider |
SUITE 508 |
City Of The Provider |
KNOXVILLE |
Zip Code Of The Provider |
379234308 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
1028 |
Number Of Medicare Beneficiaries |
451 |
Total Submitted Charge Amount |
102539 |
Total Medicare Allowed Amount |
52249.85 |
Total Medicare Payment Amount |
35591.89 |
Total Medicare Standardized Payment Amount |
40957.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
67 |
Number Of Medicare Beneficiaries With Drug Services |
40 |
Total Drug Submitted ChargeAmount |
1072 |
Total Drug Medicare AllowedAmount |
381.87 |
Total Drug Medicare PaymentAmount |
261.35 |
Total Drug Medicare Standardized Payment Amount |
261.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
961 |
Number Of Medicare Beneficiaries With Medical Services |
451 |
Total Medical Submitted Charge Amount |
101467 |
Total Medical Medicare Allowed Amount |
51867.98 |
Total Medical Medicare Payment Amount |
35330.54 |
Total Medical Medicare Standardized Payment Amount |
40696.23 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
40 |
Number Of Beneficiaries Age 65 to 74 |
187 |
Number Of Beneficiaries Age 75 to 84 |
134 |
Number Of Beneficiaries Age Greater 84 |
90 |
Number Of Female Beneficiaries |
281 |
Number Of Male Beneficiaries |
170 |
Number Of Non Hispanic White Beneficiaries |
427 |
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 |
428 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
23 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.168 |