National Provider Identifier [NPI]: |
1295734044 |
Last Name Of The Provider |
KAPLAN |
First Name Of The Provider |
PHILIP |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
PULMONARY & CORTICAL CARE SPECIALISTS, PC |
Street Address 2 Of The Provider |
39650 ORCHARD HILL PLACE, STE 100 |
City Of The Provider |
NOVI |
Zip Code Of The Provider |
48375 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
2791 |
Number Of Medicare Beneficiaries |
751 |
Total Submitted Charge Amount |
466810.27 |
Total Medicare Allowed Amount |
285465.83 |
Total Medicare Payment Amount |
213127.39 |
Total Medicare Standardized Payment Amount |
206697.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
30 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
585 |
Total Drug Medicare AllowedAmount |
148.62 |
Total Drug Medicare PaymentAmount |
110.15 |
Total Drug Medicare Standardized Payment Amount |
110.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
2761 |
Number Of Medicare Beneficiaries With Medical Services |
751 |
Total Medical Submitted Charge Amount |
466225.27 |
Total Medical Medicare Allowed Amount |
285317.21 |
Total Medical Medicare Payment Amount |
213017.24 |
Total Medical Medicare Standardized Payment Amount |
206587.51 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
186 |
Number Of Beneficiaries Age 65 to 74 |
245 |
Number Of Beneficiaries Age 75 to 84 |
231 |
Number Of Beneficiaries Age Greater 84 |
89 |
Number Of Female Beneficiaries |
423 |
Number Of Male Beneficiaries |
328 |
Number Of Non Hispanic White Beneficiaries |
486 |
Number Of Black or African American Beneficiaries |
235 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
527 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
224 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
26 |
Percent Of With Cancer |
22 |
Percent Of With Heart Failure |
54 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
67 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.6689 |