National Provider Identifier [NPI]: |
1073561460 |
Last Name Of The Provider |
KAPLAN |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5906 N MILWAUKEE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHICAGO |
Zip Code Of The Provider |
606465420 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Geriatric Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
8364 |
Number Of Medicare Beneficiaries |
1197 |
Total Submitted Charge Amount |
1056887.8 |
Total Medicare Allowed Amount |
519607.32 |
Total Medicare Payment Amount |
408770.16 |
Total Medicare Standardized Payment Amount |
388422.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
138 |
Number Of Medicare Beneficiaries With Drug Services |
92 |
Total Drug Submitted ChargeAmount |
6829.4 |
Total Drug Medicare AllowedAmount |
3368.65 |
Total Drug Medicare PaymentAmount |
2836.06 |
Total Drug Medicare Standardized Payment Amount |
2836.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
8226 |
Number Of Medicare Beneficiaries With Medical Services |
1197 |
Total Medical Submitted Charge Amount |
1050058.4 |
Total Medical Medicare Allowed Amount |
516238.67 |
Total Medical Medicare Payment Amount |
405934.1 |
Total Medical Medicare Standardized Payment Amount |
385586.18 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
304 |
Number Of Beneficiaries Age 65 to 74 |
316 |
Number Of Beneficiaries Age 75 to 84 |
317 |
Number Of Beneficiaries Age Greater 84 |
260 |
Number Of Female Beneficiaries |
744 |
Number Of Male Beneficiaries |
453 |
Number Of Non Hispanic White Beneficiaries |
252 |
Number Of Black or African American Beneficiaries |
827 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
81 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
469 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
728 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
32 |
Percent Of With Asthma |
28 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
72 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
64 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.0547 |