Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Delaware for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Delaware only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Delaware (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Jason Kaplan (NPI 1275589459)

Field	Value
Entity Type	Individual
Organization	Jason Kaplan
Address	3501 Silverside Rd
City	Wilmington
State	DE
ZIP	19810
Taxonomy	Ophthalmology Physician
NPI Enumerated	May 26, 2006

Payer Source	Total Paid
Medicare	$2.7M
Medicaid	$0

Key Findings

This provider has a Medicare-focused revenue profile with Total Medicare revenue of $2.7M and no Medicaid billing on file, making their public payer footprint effectively single-payer (Medicare) rather than dual-payer. The absence of Medicaid activity ("no Medicaid billing on file") suggests payers and network analyses should treat Medicare patterns as the primary driver of clinical and financial behavior.

Revenue is highly concentrated in three drug-injection codes: the precomputed top 3 Medicare codes by revenue account for 85.9% of this provider's total Medicare revenue. Those codes are J0178 (1.5K claims, $685 avg paid/claim, $1M revenue; 38.5%), J2778 (3.6K claims, $178 avg paid/claim, $648.5K revenue; 23.8%), and J2777 (22.3K claims, $29 avg paid/claim, $645.5K revenue; 23.7%), indicating that anti-VEGF and related intravitreal drug administration is the dominant revenue stream.

The code mix and unit-payment profiles point to a procedure-driven retinal injection practice: J0178 (aflibercept) and J2778 (ranibizumab) generate the largest revenue by payment-per-claim and total dollars, while J2777 shows very high claim volume with low avg paid/claim. Together these three codes (J0178, J2778, J2777) represent high-frequency, clinic-based intravitreal injections rather than primarily E/M-based care, which has implications for staffing, drug procurement, and infusion/injection suite capacity.

Diagnostic and imaging support is pronounced relative to many peers: 92134 (OCT imaging) shows 2.2K claims and $67K revenue (2.5% of Medicare revenue) and is flagged as "notably above typical national volume," indicating sustained high imaging throughput that aligns with frequent injection visits and monitoring protocols. This elevated imaging volume reinforces the operational profile of a retina-focused practice with high visit-to-procedure turnover.

Office evaluation-and-management codes contribute only a small share of revenue, consistent with a procedure-first model: 92014 (comprehensive established exam) is 740 claims, $62.9K revenue (2.3%), and 99213 (established office visit) is 528 claims, $37.5K revenue (1.4%). Despite nontrivial visit counts, E/M services are a minor portion of overall Medicare dollars, so payers assessing resource use should expect revenue and utilization concentrated in drug administration and related diagnostics rather than longitudinal E/M billing.

Competitive standing is mixed: the top injection codes (J0178, J2778, J2777) are reported in ranges described as "typical, unremarkable volume" for their national ranks (J0178: #798 of 3204, 75th percentile; J2778: #81 of 1208, 93th percentile; J2777: #459 of 2039, 77th percentile), suggesting the provider is a solid regional participant but not a dominant national outlier for those drugs. In contrast, imaging and some office-visit codes are ranked well above peers (92134 at the 97th percentile and 99213 at the 95th percentile, both described as "notably above typical national volume"), indicating areas of above-average utilization that may warrant further comparison to local retina practices.

The provider has long-standing Medicare enrollment (NPI enumerated: 2006-05-26, ~20 years ago), which supports interpretation of the $2.7M lifetime Medicare revenue as the product of sustained clinical activity rather than a short-term spike. Longevity in the Medicare program combined with a concentrated injection-centric revenue mix points to an established, procedure-focused operation with predictable utilization patterns for payers and competitive analyses.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,530	$690	$1M
J2778	Injection, ranibizumab, 0.1 mg	3,640	$180	$648.5K
J2777	Injection, faricimab‑svoa, 0.1 mg	22,260	$30	$645.5K
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	1,620	$100	$161.6K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	2,230	$30	$67K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	740	$90	$62.9K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	530	$70	$37.5K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	240	$80	$20.3K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	260	$70	$17K
67042	In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…	10	$900	$10.7K

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Delaware Distribution

Jason Kaplan — 4 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	1	10	510	$680	$495.6K
J2777	2	10	20,040	$30	$474.7K
J2778	1	10	2,270	$180	$404.7K
67028	1	10	970	$90	$85.6K
92014	19	120	250	$80	$29.9K
99214	677	1,830	150	$80	$25.5K
92012	18	40	230	$60	$21.4K
J9035	5	10	290	$50	$15K
99213	191	1,810	120	$60	$13.6K
67042	2	10	20	$860	$13K

Showing 1–10 of 12

Related Providers

Other providers that share a Tax Identification Number (TIN) with Jason Kaplan, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christiana Care Health Services, Inc.	DE	General Acute Care Hospital	$0	$99.4M
Christiana Care Health Services Inc	DE	Hospitalist Physician	$0	$13.6M
Mercy Health System Corporation	WI	Multi-Specialty Clinic/Center	$0	$13.2M
Christiana Care Health Services Inc	DE	Obstetrics & Gynecology Physician	$0	$9.9M
Christiana Care Health Services Inc	DE	Neonatal-Perinatal Medicine Physician	$0	$8.9M
Christiana Care Health Services Inc	DE	Family Medicine Physician	$0	$5.6M
Christiana Care Health Services Inc	DE	Neurology Physician	$0	$5.1M
Christiana Care Health Services, Inc	DE	Family Medicine Physician	$0	$5.1M
Christiana Care Health Services Inc	DE	Student Health Clinic/Center	$0	$3.9M
Christiana Care Health Services, Inc	DE	Psychiatry Physician	$0	$2.9M

Nearby Providers

Other providers in the same ZIP code as Jason Kaplan, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rachel A Maher,dmd, PA	DE	Dentist	$0	$4.5M
Brandywine Pediatric Dentistry, P.A.	DE	Pediatric Dentistry	$0	$4M
Brandywine Pediatrics, P.A.	DE	Pediatrics Physician	$0	$1.6M
Harry Lebowitz	DE	Ophthalmology Physician	$1.1M	$0
Rehabilitation Associates, P.A.	DE	Physical Medicine & Rehabilitation Physician	$0	$852.8K
David Cozzolino	DE	Urology Physician	$786.9K	$0
Andrew Barrett	DE	Ophthalmology Physician	$671.1K	$0
Chloe Payne	DE	Dermatology Physician	$541.5K	$11.7K
James Fierro	DE	Family Medicine Physician	$530.7K	$0
Clifford L. Anzilotti, D.m.d., P.A.	DE	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$510.8K

Jason Kaplan — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References