National Provider Identifier [NPI]: |
1982661849 |
Last Name Of The Provider |
KAPLAN |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4601 W 109TH ST |
Street Address 2 Of The Provider |
SUITE 116 |
City Of The Provider |
OVERLAND PARK |
Zip Code Of The Provider |
662111313 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
5372 |
Number Of Medicare Beneficiaries |
1009 |
Total Submitted Charge Amount |
423845 |
Total Medicare Allowed Amount |
265797.48 |
Total Medicare Payment Amount |
186703.61 |
Total Medicare Standardized Payment Amount |
202220.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
69 |
Number Of Medicare Beneficiaries With Drug Services |
32 |
Total Drug Submitted ChargeAmount |
2040 |
Total Drug Medicare AllowedAmount |
122.89 |
Total Drug Medicare PaymentAmount |
89.12 |
Total Drug Medicare Standardized Payment Amount |
89.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
5303 |
Number Of Medicare Beneficiaries With Medical Services |
1009 |
Total Medical Submitted Charge Amount |
421805 |
Total Medical Medicare Allowed Amount |
265674.59 |
Total Medical Medicare Payment Amount |
186614.49 |
Total Medical Medicare Standardized Payment Amount |
202131.16 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
38 |
Number Of Beneficiaries Age 65 to 74 |
535 |
Number Of Beneficiaries Age 75 to 84 |
309 |
Number Of Beneficiaries Age Greater 84 |
127 |
Number Of Female Beneficiaries |
527 |
Number Of Male Beneficiaries |
482 |
Number Of Non Hispanic White Beneficiaries |
970 |
Number Of Black or African American Beneficiaries |
11 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.8098 |