National Provider Identifier [NPI]: |
1952371387 |
Last Name Of The Provider |
CAPPLEMAN |
First Name Of The Provider |
TROY |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1009 CITY AVENUE NORTH |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
RIPLEY |
Zip Code Of The Provider |
38663 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
134 |
Number Of Services |
7580 |
Number Of Medicare Beneficiaries |
1234 |
Total Submitted Charge Amount |
996022 |
Total Medicare Allowed Amount |
400841.69 |
Total Medicare Payment Amount |
282574.38 |
Total Medicare Standardized Payment Amount |
309040.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
977 |
Number Of Medicare Beneficiaries With Drug Services |
292 |
Total Drug Submitted ChargeAmount |
20170 |
Total Drug Medicare AllowedAmount |
8307.1 |
Total Drug Medicare PaymentAmount |
7001.79 |
Total Drug Medicare Standardized Payment Amount |
7001.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
122 |
Number Of Medical Services |
6603 |
Number Of Medicare Beneficiaries With Medical Services |
1233 |
Total Medical Submitted Charge Amount |
975852 |
Total Medical Medicare Allowed Amount |
392534.59 |
Total Medical Medicare Payment Amount |
275572.59 |
Total Medical Medicare Standardized Payment Amount |
302039.17 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
389 |
Number Of Beneficiaries Age 65 to 74 |
397 |
Number Of Beneficiaries Age 75 to 84 |
288 |
Number Of Beneficiaries Age Greater 84 |
160 |
Number Of Female Beneficiaries |
685 |
Number Of Male Beneficiaries |
549 |
Number Of Non Hispanic White Beneficiaries |
1048 |
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 |
618 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
616 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3679 |