National Provider Identifier [NPI]: |
1215962451 |
Last Name Of The Provider |
KAPLAN |
First Name Of The Provider |
ROY |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
345 SAXONY RD |
Street Address 2 Of The Provider |
SUITE 105 |
City Of The Provider |
ENCINITAS |
Zip Code Of The Provider |
920242787 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
87325 |
Number Of Medicare Beneficiaries |
795 |
Total Submitted Charge Amount |
4250547.5 |
Total Medicare Allowed Amount |
2259943.86 |
Total Medicare Payment Amount |
1758506.9 |
Total Medicare Standardized Payment Amount |
1718899.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
22 |
Number Of Drug Services |
80518 |
Number Of Medicare Beneficiaries With Drug Services |
517 |
Total Drug Submitted ChargeAmount |
2829809.5 |
Total Drug Medicare AllowedAmount |
1687883.88 |
Total Drug Medicare PaymentAmount |
1319629.12 |
Total Drug Medicare Standardized Payment Amount |
1319629.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
6807 |
Number Of Medicare Beneficiaries With Medical Services |
795 |
Total Medical Submitted Charge Amount |
1420738 |
Total Medical Medicare Allowed Amount |
572059.98 |
Total Medical Medicare Payment Amount |
438877.78 |
Total Medical Medicare Standardized Payment Amount |
399270.11 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
56 |
Number Of Beneficiaries Age 65 to 74 |
330 |
Number Of Beneficiaries Age 75 to 84 |
280 |
Number Of Beneficiaries Age Greater 84 |
129 |
Number Of Female Beneficiaries |
571 |
Number Of Male Beneficiaries |
224 |
Number Of Non Hispanic White Beneficiaries |
726 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
32 |
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
760 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
35 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
15 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
51 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.394 |