Jennifer Kaple DNP

Gender: F
Medical School: Other
Graduation Year: 2016
Primary Specialty: Nurse Practitioner

2017 Medicare Provider Charge and Payment Data

Medicare Participation?	Y
Number of unique HCPCS codes submitted	32
Total Provider Services	562
Total Medicare beneficiaries receiving the provider services	208
The total charges that the provider submitted for all services	$61,812.00
The Medicare allowed amount for all provider services. This figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying.	$34,689.04
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.	$27,695.72
Total Medicare Standardized Payment Amount	$28,838.75
Total number of HCPCS codes for drug services, as defined from the Medicare Part B Drug ASP File	6
Total drug services, as defined from the Medicare Part B Drug ASP File	65
Total Medicare beneficiaries receiving drug services, as defined from the Medicare Part B Drug ASP File.	35
The total charges that the provider submitted for drug services, as defined from the Medicare Part B Drug ASP File.	$5,103.00
The Medicare allowed amount for drug services, as defined from the Medicare Part B Drug ASP File. This figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying.	$2,780.34
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item drug services, as defined from the Medicare Part B Drug ASP File.	$2,695.06
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for the line item drug service , as defined from the Medicare Part B Drug ASP File and after standardization of the Medicare payment has been applied. Standardization removes geographic differences in payment rates for individual services, such as those that account for local wages or input prices and makes Medicare payments across geographic areas comparable, so that differences reflect variation in factors such as physicians’ practice patterns and beneficiaries’ ability and willingness to obtain care.	$2,695.06
Total number of HCPCS codes associated with medical (non-ASP) services	26
Total medical (non-ASP) services	497
Total Medicare beneficiaries receiving medical (non-ASP) services	208
The total charges that the provider submitted for medical services (non-ASP)	$56,709.00
The Medicare allowed amount for medical (non-ASP) services. This figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying.	$31,908.70
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services	$25,000.66
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for the line item medical (non-ASP) service , as defined from the Medicare Part B Drug ASP File and after standardization of the Medicare payment has been applied. Standardization removes geographic differences in payment rates for individual services, such as those that account for local wages or input prices and makes Medicare payments across geographic areas comparable, so that differences reflect variation in factors such as physicians’ practice patterns and beneficiaries’ ability and willingness to obtain care	$26,143.69
Average age of beneficiaries	72
Number of beneficiaries under the age of 65	30
Number of beneficiaries between the ages of 65 and 74	100
Number of beneficiaries between the ages of 75 and 84	49
Number of beneficiaries over the age of 84	29
Number of Female beneficiaries	130
Number of Male Beneficiaries	78
Number of Non-Hispanic White Beneficiaries	190
Number of Medicare beneficiaries qualified to receive Medicare only benefits. Beneficiaries are classified as Medicare only entitlement if they received zero months of any Medicaid benefits (full or partial) in the given calendar year	187
Number of Medicare beneficiaries qualified to receive Medicare and Medicaid benefits. Beneficiaries are classified as Medicare and Medicaid entitlement if in any month in the given calendar year they were receiving full or partial Medicaid benefits	21
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation	11%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia	10%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Asthma	10%
Percent of beneficiaries meeting the CCW chronic condition algorithms for cancer. Includes breast cancer, colorectal cancer, lung cancer and prostate cancer	10%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure	9%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease	23%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease	13%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression	21%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes	38%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia	49%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension	68%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease	24%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis	8%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis	44%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries	1.1492

Source: data.cms.gov