National Provider Identifier [NPI]: |
1942275334 |
Last Name Of The Provider |
KLEPPER |
First Name Of The Provider |
CHARLES |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
707 N MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
HARRISON |
Zip Code Of The Provider |
726012912 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
87 |
Number Of Services |
11600 |
Number Of Medicare Beneficiaries |
888 |
Total Submitted Charge Amount |
730951.5 |
Total Medicare Allowed Amount |
477128.41 |
Total Medicare Payment Amount |
351587.06 |
Total Medicare Standardized Payment Amount |
352538.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
753 |
Number Of Medicare Beneficiaries With Drug Services |
316 |
Total Drug Submitted ChargeAmount |
12804 |
Total Drug Medicare AllowedAmount |
8841.93 |
Total Drug Medicare PaymentAmount |
7750.78 |
Total Drug Medicare Standardized Payment Amount |
7750.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
76 |
Number Of Medical Services |
10847 |
Number Of Medicare Beneficiaries With Medical Services |
887 |
Total Medical Submitted Charge Amount |
718147.5 |
Total Medical Medicare Allowed Amount |
468286.48 |
Total Medical Medicare Payment Amount |
343836.28 |
Total Medical Medicare Standardized Payment Amount |
344787.27 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
183 |
Number Of Beneficiaries Age 65 to 74 |
298 |
Number Of Beneficiaries Age 75 to 84 |
247 |
Number Of Beneficiaries Age Greater 84 |
160 |
Number Of Female Beneficiaries |
505 |
Number Of Male Beneficiaries |
383 |
Number Of Non Hispanic White Beneficiaries |
871 |
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 |
634 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
254 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.29 |