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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJohn Caplan
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    John Caplan — Billing Profile & Reimbursement Data

    NPI 1386622769 · Hamilton, NJ · Cardiovascular Disease Physician

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    John Caplan is a cardiovascular disease physician provider located in Hamilton, New Jersey. This profile covers 32 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
    OrganizationJohn Caplan
    Address2073 Klockner Rd
    CityHamilton
    StateNJ
    ZIP08690
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedJanuary 5, 2006

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

    Payer SourceTotal Paid
    Medicare$462.7K
    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.

    32 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…1,000$100$99.5K
    93241In this procedure, the provider applies an electrocardiographic, or ECG recorder, to a patient who wears it for more than 48 hours, up to seven days, to help detect abnormal heart rates and…290$240$68.2K
    33285The provider inserts a cardiac rhythm monitor with self–contained electrodes into a pocket in the tissues beneath the patient's skin and programs the device according to manufacturer’s directions.10$3,980$43.8K
    93229In this procedure, the provider, typically a technician, places a wearable electrocardiographic monitoring device on the patient, instructs him in its use, and monitors the transmissions, to detect…60$760$42K
    93280In this service, the provider performs a face to face evaluation and then optimally adjusts the existing parameters of an already implanted dual lead pacemaker system.  He changes various operating…380$60$23.4K
    93224In this procedure, the provider applies an electrocardiographic, or ECG recorder, to a patient for up to 48 hours to detect abnormal heart rates and rhythms. He analyzes, compiles, and interprets the…370$50$19.4K
    G2066Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system,…610$30$18.9K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…180$100$17.7K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…100$150$14.1K
    33208The provider inserts or replaces a permanent pacemaker and implants electrodes into the right atrium and right ventricle.20$440$10.6K

    Showing 1–10 of 32

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    32 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    33285687020$2,210$70.9K
    932293113040$750$56.4K
    93306931990220$100$25.8K
    9921449113,640130$90$23.6K
    992331,6294,270110$100$22.5K
    992325,0656,220120$70$18.4K
    G206633140140$40$17.5K
    99490323490170$50$16.6K
    9324114030$230$12.3K
    992151,8933,75040$140$12K

    Showing 1–10 of 32

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mahmoud GhussonNJCardiovascular Disease Physician$586.5K$0
    Ronald RyderNJCardiovascular Disease Physician$566.5K$0
    Alpesh PatelNJCardiovascular Disease Physician$523.7K$0
    Justin FoxNJCardiovascular Disease Physician$431.5K$0
    Edward WingfieldNJCardiovascular Disease Physician$423.2K$0
    Christina WjasowNJClinical Cardiac Electrophysiology Physician$409.9K$0
    James BeattieNJCardiovascular Disease Physician$375.7K$0
    Zia RabFLInterventional Cardiology Physician$365.6K$0
    George LogothetisPACardiovascular Disease Physician$355.9K$3.1K
    Dan SodanoFLCardiovascular Disease Physician$340.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Allies, Inc.NJEmotionally Disturbed Childrens' Residential Treatment Facility$0$362.8M
    Medical Diagnostic Laboratories,llcNJClinical Medical Laboratory$5.6M$81M
    Robert Wood Johnson University Hospital At HamiltonNJGeneral Acute Care Hospital$0$28.2M
    Hamilton Dental AssociatesNJGeneral Practice Dentistry$0$23.1M
    Mind Your MindNJMental Health Clinic/Center (Including Community Mental Health Center)$0$18.7M
    Arc Mercer, IncNJDevelopmentally Disabled Services Day Training Agency$0$14.5M
    Mercer County Special Services School DistrictNJLocal Education Agency (LEA)$0$10.5M
    Campus Eye Group Asc, LLCNJOphthalmologic Surgery Clinic/Center$1.8M$1.6M
    Marc HandlerNJProcedural Dermatology Physician$1.3M$82.3K
    Mukaram GaziNJUrology Physician$902.2K$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 Jersey Distribution
    John Caplan — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey