Medicare Facts for Dr. James L. Caplan, MD


National Provider Identifier [NPI]: 1992717037
Last Name Of The Provider CAPLAN
First Name Of The Provider JAMES
Middle Initial Of The Provider L
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 250 N ROBERTSON BLVD
Street Address 2 Of The Provider
City Of The Provider BEVERLY HILLS
Zip Code Of The Provider 902111788
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Pulmonary Disease
Medicare Participation Indicator Y
Number Of HCPCS 55
Number Of Services 1558
Number Of Medicare Beneficiaries 378
Total Submitted Charge Amount 293961
Total Medicare Allowed Amount 97432.86
Total Medicare Payment Amount 72700.22
Total Medicare Standardized Payment Amount 66906.79
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 60
Number Of Medicare Beneficiaries With Drug Services 55
Total Drug Submitted ChargeAmount 2883
Total Drug Medicare AllowedAmount 1439.99
Total Drug Medicare PaymentAmount 1411.19
Total Drug Medicare Standardized Payment Amount 1411.19
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 51
Number Of Medical Services 1498
Number Of Medicare Beneficiaries With Medical Services 378
Total Medical Submitted Charge Amount 291078
Total Medical Medicare Allowed Amount 95992.87
Total Medical Medicare Payment Amount 71289.03
Total Medical Medicare Standardized Payment Amount 65495.6
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 44
Number Of Beneficiaries Age 65 to 74 192
Number Of Beneficiaries Age 75 to 84 100
Number Of Beneficiaries Age Greater 84 42
Number Of Female Beneficiaries 227
Number Of Male Beneficiaries 151
Number Of Non Hispanic White Beneficiaries 235
Number Of Black or African American Beneficiaries 84
Number Of AsianPacific Islander Beneficiaries 23
Number Of Hispanic Beneficiaries 24
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 277
Number Of Beneficiaries With Medicare Medicaid Entitlement 101
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 22
Percent Of With Cancer 11
Percent Of With Heart Failure 18
Percent Of With Chronic Kidney Disease 20
Percent Of With Chronic Obstructive Pulmonary Disease 27
Percent Of With Depression 24
Percent Of With Diabetes 33
Percent Of With Hyperlipidemia 48
Percent Of With Hypertension 62
Percent Of With Ischemic Heart Disease 40
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.2955

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