Medicare Facts for Dr. Michael A. Kaplan, MD


National Provider Identifier [NPI]: 1750443289
Last Name Of The Provider KAPLAN
First Name Of The Provider MICHAEL
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 4101 GREENBRIAR ST STE 320
Street Address 2 Of The Provider
City Of The Provider HOUSTON
Zip Code Of The Provider 770985296
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Otolaryngology
Medicare Participation Indicator Y
Number Of HCPCS 53
Number Of Services 3684
Number Of Medicare Beneficiaries 395
Total Submitted Charge Amount 3892082.75
Total Medicare Allowed Amount 917116
Total Medicare Payment Amount 695864.85
Total Medicare Standardized Payment Amount 505114.69
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 206
Number Of Medicare Beneficiaries With Drug Services 23
Total Drug Submitted ChargeAmount 1765
Total Drug Medicare AllowedAmount 374.34
Total Drug Medicare PaymentAmount 263.35
Total Drug Medicare Standardized Payment Amount 263.35
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 49
Number Of Medical Services 3478
Number Of Medicare Beneficiaries With Medical Services 395
Total Medical Submitted Charge Amount 3890317.75
Total Medical Medicare Allowed Amount 916741.66
Total Medical Medicare Payment Amount 695601.5
Total Medical Medicare Standardized Payment Amount 504851.34
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 28
Number Of Beneficiaries Age 65 to 74 198
Number Of Beneficiaries Age 75 to 84 110
Number Of Beneficiaries Age Greater 84 59
Number Of Female Beneficiaries 220
Number Of Male Beneficiaries 175
Number Of Non Hispanic White Beneficiaries 311
Number Of Black or African American Beneficiaries 47
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 24
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 371
Number Of Beneficiaries With Medicare Medicaid Entitlement 24
Percent Of With Atrial Fibrillation 9
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 9
Percent Of With Cancer 12
Percent Of With Heart Failure 16
Percent Of With Chronic Kidney Disease 19
Percent Of With Chronic Obstructive Pulmonary Disease 8
Percent Of With Depression 15
Percent Of With Diabetes 28
Percent Of With Hyperlipidemia 51
Percent Of With Hypertension 64
Percent Of With Ischemic Heart Disease 36
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 41
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.1325

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