Medicare Facts for Dr. Paul T. Kaplanis, MD


National Provider Identifier [NPI]: 1497860167
Last Name Of The Provider KAPLANIS
First Name Of The Provider PAUL
Middle Initial Of The Provider T
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 6130 TRIER RD
Street Address 2 Of The Provider
City Of The Provider FORT WAYNE
Zip Code Of The Provider 468155339
State Code Of The Provider IN
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 38
Number Of Services 2078
Number Of Medicare Beneficiaries 645
Total Submitted Charge Amount 252299.8
Total Medicare Allowed Amount 113722.34
Total Medicare Payment Amount 84394.84
Total Medicare Standardized Payment Amount 88413.5
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 9
Number Of Drug Services 516
Number Of Medicare Beneficiaries With Drug Services 76
Total Drug Submitted ChargeAmount 31154.8
Total Drug Medicare AllowedAmount 8970.49
Total Drug Medicare PaymentAmount 7566.29
Total Drug Medicare Standardized Payment Amount 7566.29
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 29
Number Of Medical Services 1562
Number Of Medicare Beneficiaries With Medical Services 645
Total Medical Submitted Charge Amount 221145
Total Medical Medicare Allowed Amount 104751.85
Total Medical Medicare Payment Amount 76828.55
Total Medical Medicare Standardized Payment Amount 80847.21
Average Age Of Beneficiaries 77
Number Of Beneficiaries Age Less65 77
Number Of Beneficiaries Age 65 to 74 185
Number Of Beneficiaries Age 75 to 84 190
Number Of Beneficiaries Age Greater 84 193
Number Of Female Beneficiaries 395
Number Of Male Beneficiaries 250
Number Of Non Hispanic White Beneficiaries 567
Number Of Black or African American Beneficiaries 53
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 12
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 330
Number Of Beneficiaries With Medicare Medicaid Entitlement 315
Percent Of With Atrial Fibrillation 16
Percent Of With Alzheimers Disease or Dementia 48
Percent Of With Asthma 8
Percent Of With Cancer 8
Percent Of With Heart Failure 31
Percent Of With Chronic Kidney Disease 39
Percent Of With Chronic Obstructive Pulmonary Disease 23
Percent Of With Depression 51
Percent Of With Diabetes 36
Percent Of With Hyperlipidemia 52
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 45
Percent Of With Osteoporosis 14
Percent Of With Rheumatoid Arthritis Osteoarthritis 51
Percent Of With Schizophrenia Other PsychoticDisorders 25
Percent Of With Stroke 14
Average HCC Risk Score Of Beneficiaries 1.8594

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