National Provider Identifier [NPI]: |
1932102076 |
Last Name Of The Provider |
KAPPELMAN |
First Name Of The Provider |
NEIL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3501 JOHNSON ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
HOLLYWOOD |
Zip Code Of The Provider |
330215421 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
90 |
Number Of Services |
2355 |
Number Of Medicare Beneficiaries |
1202 |
Total Submitted Charge Amount |
560769 |
Total Medicare Allowed Amount |
142012.58 |
Total Medicare Payment Amount |
108907 |
Total Medicare Standardized Payment Amount |
107213.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
842 |
Number Of Medicare Beneficiaries With Drug Services |
58 |
Total Drug Submitted ChargeAmount |
5052 |
Total Drug Medicare AllowedAmount |
1560.91 |
Total Drug Medicare PaymentAmount |
1223.7 |
Total Drug Medicare Standardized Payment Amount |
1223.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
88 |
Number Of Medical Services |
1513 |
Number Of Medicare Beneficiaries With Medical Services |
1201 |
Total Medical Submitted Charge Amount |
555717 |
Total Medical Medicare Allowed Amount |
140451.67 |
Total Medical Medicare Payment Amount |
107683.3 |
Total Medical Medicare Standardized Payment Amount |
105989.99 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
231 |
Number Of Beneficiaries Age 65 to 74 |
379 |
Number Of Beneficiaries Age 75 to 84 |
354 |
Number Of Beneficiaries Age Greater 84 |
238 |
Number Of Female Beneficiaries |
743 |
Number Of Male Beneficiaries |
459 |
Number Of Non Hispanic White Beneficiaries |
607 |
Number Of Black or African American Beneficiaries |
193 |
Number Of AsianPacific Islander Beneficiaries |
35 |
Number Of Hispanic Beneficiaries |
340 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
693 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
509 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
26 |
Average HCC Risk Score Of Beneficiaries |
2.0956 |