National Provider Identifier [NPI]: |
1336237254 |
Last Name Of The Provider |
KAPLAN |
First Name Of The Provider |
NANCY |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2702 LOW CT |
Street Address 2 Of The Provider |
|
City Of The Provider |
FAIRFIELD |
Zip Code Of The Provider |
945349727 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
1308 |
Number Of Medicare Beneficiaries |
627 |
Total Submitted Charge Amount |
428468 |
Total Medicare Allowed Amount |
120530.16 |
Total Medicare Payment Amount |
87036.61 |
Total Medicare Standardized Payment Amount |
76186.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
236 |
Number Of Medicare Beneficiaries With Drug Services |
85 |
Total Drug Submitted ChargeAmount |
4928 |
Total Drug Medicare AllowedAmount |
1340.06 |
Total Drug Medicare PaymentAmount |
940.42 |
Total Drug Medicare Standardized Payment Amount |
940.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
1072 |
Number Of Medicare Beneficiaries With Medical Services |
627 |
Total Medical Submitted Charge Amount |
423540 |
Total Medical Medicare Allowed Amount |
119190.1 |
Total Medical Medicare Payment Amount |
86096.19 |
Total Medical Medicare Standardized Payment Amount |
75245.84 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
95 |
Number Of Beneficiaries Age 65 to 74 |
250 |
Number Of Beneficiaries Age 75 to 84 |
196 |
Number Of Beneficiaries Age Greater 84 |
86 |
Number Of Female Beneficiaries |
376 |
Number Of Male Beneficiaries |
251 |
Number Of Non Hispanic White Beneficiaries |
413 |
Number Of Black or African American Beneficiaries |
87 |
Number Of AsianPacific Islander Beneficiaries |
39 |
Number Of Hispanic Beneficiaries |
71 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
547 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
80 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1863 |