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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMichael Kaplan
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    Michael Kaplan — Billing Profile & Reimbursement Data

    NPI 1316915200 · Albany, NY · Anesthesiology Physician

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    Michael Kaplan is a anesthesiology physician provider located in Albany, New York. This profile covers 15 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMichael Kaplan
    Address1450 Western Ave Ste 102
    CityAlbany
    StateNY
    ZIP12203
    TaxonomyAnesthesiology Physician
    NPI EnumeratedMarch 8, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$50.4K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    00731The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…190$60$10.8K
    00537The provider performs anesthesia services for a patient undergoing cardiac electrophysiologic procedures, such as mapping, pacing, recording, arrhythmia induction, lead testing, and similar services,…30$200$6.7K
    00732The anesthesia provider performs anesthesia services for an endoscopic retrograde cholangiopancreatography (ERCP) during which another provider introduces the endoscope to the proximal (upper) part…60$80$4.7K
    00811The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…90$50$4.7K
    00813The anesthesia provider performs anesthesia services for a patient undergoing both upper and lower intestinal endoscopy where the surgical provider introduces an endoscope into the intestines above…60$70$4K
    00790The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the upper abdomen, including laparoscopy, which are not specified by any other anesthesia code.30$150$4K
    00840The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the lower abdomen, including laparoscopy, which are not specified by any other anesthesia code.30$110$3.7K
    01922The provider performs anesthesia services for a patient undergoing non–invasive imaging or radiation therapy.40$80$3.1K
    36620In this procedure, the provider inserts a catheter percutaneously (through the skin) into an artery and uses this catheter for the purpose of sampling, transfusion, or continuous real–time blood…80$30$2.6K
    00410The provider performs anesthesia services for a patient undergoing a procedure on the skin of the upper and lower limbs, the front aspect of the chest and abdomen, or the perineum. For this code, the…40$40$1.7K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    00537722020$290$7.3K
    00811371,71030$90$4.3K
    01922747020$150$3.9K
    0073122,24020$100$3.5K
    0081230893020$100$3.5K
    00790242010$210$3.4K
    00813497020$110$3K
    00530417020$150$3K
    00840127010$180$2.8K
    0073218010$130$2.3K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Anurag BhatiaNYPain Medicine (Anesthesiology) Physician$435.7K$98.3K
    Oliver JamesKYPain Medicine (Anesthesiology) Physician$321.1K$0
    Antonio PotoFLPain Medicine (Anesthesiology) Physician$249.7K$0
    Praveen Reddy ElmatiNJAnesthesiology Physician$102K$0
    Thomas KennedyNYAnesthesiology Physician$94K$320
    Igor PovzhitkovNJPain Medicine (Anesthesiology) Physician$89.2K$0
    Stuart RiceNJAnesthesiology Physician$79.6K$0
    Ilana KipnisNJPain Medicine (Anesthesiology) Physician$78.6K$0
    Paras ZodiatisNJAnesthesiology Physician$77.7K$0
    Jie ZhouNJAnesthesiology Physician$75.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thomas FedericiNYOphthalmology Physician$2.8M$70.5K
    Shalom KievalNYOphthalmology Physician$1.2M$5.1K
    Steven AltmayerNYMOHS-Micrographic Surgery Physician$606.4K$0
    Dennis KimNYMOHS-Micrographic Surgery Physician$521K$0
    Michael MulvaneyNYMOHS-Micrographic Surgery Physician$473.9K$0
    Aixa Toledo-garciaNYRheumatology Physician$383.1K$16K
    Dale MeyerNYCorneal and Contact Management Optometrist$37.2K$198.6K
    Christopher GabrielsNYOphthalmology Physician$200K$0
    John MurphyNYSpecialist$149.6K$0
    Brian MurrayNYUrology Physician$106.2K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New York Distribution
    Michael Kaplan — 6 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York