Medicare Facts for Dr. Michael B. Caplan, MD


National Provider Identifier [NPI]: 1225034549
Last Name Of The Provider CAPLAN
First Name Of The Provider MICHAEL
Middle Initial Of The Provider B
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 3100 WESLAYAN ST
Street Address 2 Of The Provider STE 400
City Of The Provider HOUSTON
Zip Code Of The Provider 770275752
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Ophthalmology
Medicare Participation Indicator Y
Number Of HCPCS 33
Number Of Services 2544
Number Of Medicare Beneficiaries 820
Total Submitted Charge Amount 1192837
Total Medicare Allowed Amount 542610.01
Total Medicare Payment Amount 399246.52
Total Medicare Standardized Payment Amount 416064.67
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 33
Number Of Medical Services 2544
Number Of Medicare Beneficiaries With Medical Services 820
Total Medical Submitted Charge Amount 1192837
Total Medical Medicare Allowed Amount 542610.01
Total Medical Medicare Payment Amount 399246.52
Total Medical Medicare Standardized Payment Amount 416064.67
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 30
Number Of Beneficiaries Age 65 to 74 402
Number Of Beneficiaries Age 75 to 84 279
Number Of Beneficiaries Age Greater 84 109
Number Of Female Beneficiaries 495
Number Of Male Beneficiaries 325
Number Of Non Hispanic White Beneficiaries 581
Number Of Black or African American Beneficiaries 128
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 85
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 727
Number Of Beneficiaries With Medicare Medicaid Entitlement 93
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 4
Percent Of With Cancer 8
Percent Of With Heart Failure 16
Percent Of With Chronic Kidney Disease 17
Percent Of With Chronic Obstructive Pulmonary Disease 9
Percent Of With Depression 12
Percent Of With Diabetes 30
Percent Of With Hyperlipidemia 53
Percent Of With Hypertension 66
Percent Of With Ischemic Heart Disease 36
Percent Of With Osteoporosis 6
Percent Of With Rheumatoid Arthritis Osteoarthritis 33
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.0049

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