National Provider Identifier [NPI]: |
1548271208 |
Last Name Of The Provider |
KAPLAN |
First Name Of The Provider |
BRUCE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4370 FOREST HILL DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
COMMERCE TWP |
Zip Code Of The Provider |
483821590 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
3513 |
Number Of Medicare Beneficiaries |
564 |
Total Submitted Charge Amount |
499438.6 |
Total Medicare Allowed Amount |
362655.72 |
Total Medicare Payment Amount |
272489.36 |
Total Medicare Standardized Payment Amount |
265688.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
172 |
Number Of Medicare Beneficiaries With Drug Services |
44 |
Total Drug Submitted ChargeAmount |
1374 |
Total Drug Medicare AllowedAmount |
409.77 |
Total Drug Medicare PaymentAmount |
372.24 |
Total Drug Medicare Standardized Payment Amount |
372.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
3341 |
Number Of Medicare Beneficiaries With Medical Services |
564 |
Total Medical Submitted Charge Amount |
498064.6 |
Total Medical Medicare Allowed Amount |
362245.95 |
Total Medical Medicare Payment Amount |
272117.12 |
Total Medical Medicare Standardized Payment Amount |
265315.96 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
136 |
Number Of Beneficiaries Age 65 to 74 |
215 |
Number Of Beneficiaries Age 75 to 84 |
147 |
Number Of Beneficiaries Age Greater 84 |
66 |
Number Of Female Beneficiaries |
312 |
Number Of Male Beneficiaries |
252 |
Number Of Non Hispanic White Beneficiaries |
279 |
Number Of Black or African American Beneficiaries |
221 |
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 |
38 |
Number Of Beneficiaries With Medicare Only Entitlement |
231 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
333 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
20 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
73 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.74 |