Medicare Facts for Dr. Daniel I. Caplan, MD


National Provider Identifier [NPI]: 1407916927
Last Name Of The Provider CAPLAN
First Name Of The Provider DANIEL
Middle Initial Of The Provider I
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 3409 N HULLEN ST
Street Address 2 Of The Provider
City Of The Provider METAIRIE
Zip Code Of The Provider 700023486
State Code Of The Provider LA
Country Code Of The Provider US
Provider Type Of The Provider Ophthalmology
Medicare Participation Indicator Y
Number Of HCPCS 37
Number Of Services 6197
Number Of Medicare Beneficiaries 558
Total Submitted Charge Amount 1119780
Total Medicare Allowed Amount 512592.05
Total Medicare Payment Amount 379294.66
Total Medicare Standardized Payment Amount 389736.74
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 589
Number Of Medicare Beneficiaries With Drug Services 46
Total Drug Submitted ChargeAmount 117715
Total Drug Medicare AllowedAmount 43491.3
Total Drug Medicare PaymentAmount 32247.53
Total Drug Medicare Standardized Payment Amount 32247.53
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 32
Number Of Medical Services 5608
Number Of Medicare Beneficiaries With Medical Services 558
Total Medical Submitted Charge Amount 1002065
Total Medical Medicare Allowed Amount 469100.75
Total Medical Medicare Payment Amount 347047.13
Total Medical Medicare Standardized Payment Amount 357489.21
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 30
Number Of Beneficiaries Age 65 to 74 250
Number Of Beneficiaries Age 75 to 84 167
Number Of Beneficiaries Age Greater 84 111
Number Of Female Beneficiaries 332
Number Of Male Beneficiaries 226
Number Of Non Hispanic White Beneficiaries 493
Number Of Black or African American Beneficiaries 30
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 24
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 523
Number Of Beneficiaries With Medicare Medicaid Entitlement 35
Percent Of With Atrial Fibrillation 13
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 4
Percent Of With Cancer 10
Percent Of With Heart Failure 15
Percent Of With Chronic Kidney Disease 18
Percent Of With Chronic Obstructive Pulmonary Disease 7
Percent Of With Depression 11
Percent Of With Diabetes 27
Percent Of With Hyperlipidemia 59
Percent Of With Hypertension 72
Percent Of With Ischemic Heart Disease 37
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 39
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.0333

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