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.

Emma Kaplan (NPI 1316209943)

Field	Value
Entity Type	Individual
Organization	Emma Kaplan
Address	4745 Ogletown Stanton Rd Ste 225
City	Newark
State	DE
ZIP	19713
Taxonomy	Physician Assistant
NPI Enumerated	June 11, 2012

Payer Source	Total Paid
Medicare	$29K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
27447	In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…	120	$140	$16.5K
27130	In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…	40	$140	$6K
J7329	Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg	430	$10	$3K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	40	$50	$1.9K
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…	20	$60	$1.4K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	20	$1	$20

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Delaware Distribution

Emma Kaplan — 0 of 6 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

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	10	50	50	$810	$52K
J7329	17	20	3,550	$10	$31.1K
27130	18	40	40	$700	$28.9K
99213	1,584	1,810	120	$60	$13.6K
20610	74	120	60	$50	$12.4K
J3301	114	120	260	$1	$480

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
First State Orthopaedics, PA	DE	Orthopaedic Surgery Physician	$0	$6M
First State Orthopaedics PA	DE	Orthopaedic Surgery Physician	$0	$1.5M
Callaway Franceschini LLC	DE	Physical Therapist	$0	$881.4K
Anush Parikh	DE	Diagnostic Radiology Physician	$651.5K	$0
Joseph Farrell	DE	Orthopaedic Surgery Physician	$576.7K	$0
Leonidas Raisis	DE	Orthopaedic Surgery Physician	$575.8K	$0
Jeremie Axe	DE	Orthopaedic Surgery Physician	$542.8K	$0
Stephen Manifold	DE	Orthopaedic Surgery Physician	$488.7K	$0
Gita Pillai	DE	Orthopaedic Surgery Physician	$439.5K	$0
Dale Sutherland	DE	Anesthesiology Physician	$431.5K	$0

Emma Kaplan — Billing Profile & Reimbursement Data

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Emma Kaplan — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References