National Provider Identifier [NPI]: |
1639181084 |
Last Name Of The Provider |
KAPLAN |
First Name Of The Provider |
EDWARD |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9631 GROSS POINT RD |
Street Address 2 Of The Provider |
SUITE 10 |
City Of The Provider |
SKOKIE |
Zip Code Of The Provider |
600761264 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
114 |
Number Of Services |
118313 |
Number Of Medicare Beneficiaries |
457 |
Total Submitted Charge Amount |
6528259.1 |
Total Medicare Allowed Amount |
2774117.41 |
Total Medicare Payment Amount |
2166193.4 |
Total Medicare Standardized Payment Amount |
2146121.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
63 |
Number Of Drug Services |
110493 |
Number Of Medicare Beneficiaries With Drug Services |
199 |
Total Drug Submitted ChargeAmount |
5331452.6 |
Total Drug Medicare AllowedAmount |
2336202.03 |
Total Drug Medicare PaymentAmount |
1830186.62 |
Total Drug Medicare Standardized Payment Amount |
1830186.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
7820 |
Number Of Medicare Beneficiaries With Medical Services |
457 |
Total Medical Submitted Charge Amount |
1196806.5 |
Total Medical Medicare Allowed Amount |
437915.38 |
Total Medical Medicare Payment Amount |
336006.78 |
Total Medical Medicare Standardized Payment Amount |
315935.11 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
23 |
Number Of Beneficiaries Age 65 to 74 |
165 |
Number Of Beneficiaries Age 75 to 84 |
167 |
Number Of Beneficiaries Age Greater 84 |
102 |
Number Of Female Beneficiaries |
288 |
Number Of Male Beneficiaries |
169 |
Number Of Non Hispanic White Beneficiaries |
409 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
364 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
93 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
58 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
24 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
2.0074 |