National Provider Identifier [NPI]: |
1154466589 |
Last Name Of The Provider |
KAPLAN |
First Name Of The Provider |
MILTON |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
18370 BURBANK BLVD STE 501 |
Street Address 2 Of The Provider |
|
City Of The Provider |
TARZANA |
Zip Code Of The Provider |
913562836 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
3420 |
Number Of Medicare Beneficiaries |
539 |
Total Submitted Charge Amount |
490925.5 |
Total Medicare Allowed Amount |
371043.97 |
Total Medicare Payment Amount |
282454.66 |
Total Medicare Standardized Payment Amount |
251459.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
28 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
7560 |
Total Drug Medicare AllowedAmount |
6900 |
Total Drug Medicare PaymentAmount |
5409.49 |
Total Drug Medicare Standardized Payment Amount |
5409.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
3392 |
Number Of Medicare Beneficiaries With Medical Services |
539 |
Total Medical Submitted Charge Amount |
483365.5 |
Total Medical Medicare Allowed Amount |
364143.97 |
Total Medical Medicare Payment Amount |
277045.17 |
Total Medical Medicare Standardized Payment Amount |
246050.19 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
34 |
Number Of Beneficiaries Age 65 to 74 |
198 |
Number Of Beneficiaries Age 75 to 84 |
187 |
Number Of Beneficiaries Age Greater 84 |
120 |
Number Of Female Beneficiaries |
250 |
Number Of Male Beneficiaries |
289 |
Number Of Non Hispanic White Beneficiaries |
488 |
Number Of Black or African American Beneficiaries |
12 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
432 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
107 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3831 |