Medicare Facts for Dr. Philip V. Kaplan, DO


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

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