National Provider Identifier [NPI]: |
1801888086 |
Last Name Of The Provider |
KAPLAN |
First Name Of The Provider |
LESLIE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2021 SANTA MONICA BLVD |
Street Address 2 Of The Provider |
SUITE 510E |
City Of The Provider |
SANTA MONICA |
Zip Code Of The Provider |
904042160 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
138 |
Number Of Services |
25184 |
Number Of Medicare Beneficiaries |
1203 |
Total Submitted Charge Amount |
1105109.88 |
Total Medicare Allowed Amount |
969543.31 |
Total Medicare Payment Amount |
768374.7 |
Total Medicare Standardized Payment Amount |
730522.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
4270 |
Number Of Medicare Beneficiaries With Drug Services |
226 |
Total Drug Submitted ChargeAmount |
71416.58 |
Total Drug Medicare AllowedAmount |
66860.86 |
Total Drug Medicare PaymentAmount |
52409.92 |
Total Drug Medicare Standardized Payment Amount |
52409.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
127 |
Number Of Medical Services |
20914 |
Number Of Medicare Beneficiaries With Medical Services |
1203 |
Total Medical Submitted Charge Amount |
1033693.3 |
Total Medical Medicare Allowed Amount |
902682.45 |
Total Medical Medicare Payment Amount |
715964.78 |
Total Medical Medicare Standardized Payment Amount |
678112.33 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
547 |
Number Of Beneficiaries Age 75 to 84 |
407 |
Number Of Beneficiaries Age Greater 84 |
212 |
Number Of Female Beneficiaries |
378 |
Number Of Male Beneficiaries |
825 |
Number Of Non Hispanic White Beneficiaries |
1066 |
Number Of Black or African American Beneficiaries |
33 |
Number Of AsianPacific Islander Beneficiaries |
44 |
Number Of Hispanic Beneficiaries |
32 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1100 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
103 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1763 |