Medicare Facts for Dr. Robert A. Kaplan, MD


National Provider Identifier [NPI]: 1285730069
Last Name Of The Provider KAPLAN
First Name Of The Provider ROBERT
Middle Initial Of The Provider A
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 3811 VALLEY CENTRE DR
Street Address 2 Of The Provider
City Of The Provider SAN DIEGO
Zip Code Of The Provider 921303318
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 25
Number Of Services 1855
Number Of Medicare Beneficiaries 424
Total Submitted Charge Amount 298229
Total Medicare Allowed Amount 150086.69
Total Medicare Payment Amount 108839.11
Total Medicare Standardized Payment Amount 105764.39
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 8
Number Of Drug Services 199
Number Of Medicare Beneficiaries With Drug Services 175
Total Drug Submitted ChargeAmount 16278
Total Drug Medicare AllowedAmount 8411.8
Total Drug Medicare PaymentAmount 8200.21
Total Drug Medicare Standardized Payment Amount 8200.21
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 17
Number Of Medical Services 1656
Number Of Medicare Beneficiaries With Medical Services 424
Total Medical Submitted Charge Amount 281951
Total Medical Medicare Allowed Amount 141674.89
Total Medical Medicare Payment Amount 100638.9
Total Medical Medicare Standardized Payment Amount 97564.18
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 211
Number Of Beneficiaries Age 75 to 84 142
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 185
Number Of Male Beneficiaries 239
Number Of Non Hispanic White Beneficiaries 377
Number Of Black or African American Beneficiaries 0
Number Of AsianPacific Islander Beneficiaries 20
Number Of Hispanic Beneficiaries 15
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified 12
Number Of Beneficiaries With Medicare Only Entitlement 411
Number Of Beneficiaries With Medicare Medicaid Entitlement 13
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 4
Percent Of With Asthma 5
Percent Of With Cancer 12
Percent Of With Heart Failure 9
Percent Of With Chronic Kidney Disease 18
Percent Of With Chronic Obstructive Pulmonary Disease 4
Percent Of With Depression 12
Percent Of With Diabetes 19
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 59
Percent Of With Ischemic Heart Disease 34
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 68
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 0.8629

Doctor Directory | TOS | twitter | FB | Angel | blog