Medicare Facts for Dr. Roy A. Kaplan, MD


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

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