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 New Mexico for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

Kristin Caplan (NPI 1396296596)

Field	Value
Entity Type	Individual
Organization	Kristin Caplan
Address	1209 University Blvd Ne
City	Albuquerque
State	NM
ZIP	87102
Taxonomy	Physician Assistant
NPI Enumerated	October 23, 2016

Payer Source	Total Paid
Medicare	$680
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
49424	In this procedure, the provider injects a contrast material into an existing drainage catheter. He performs this procedure to more clearly visualize and assess the size, type, and location of the…	10	$20	$310
76080	The provider performs supervision and interpretation of an abscess, fistula, or sinus tract imaging study.	10	$20	$220
77001	Report this code as an add–on code to the primary procedure code, such as central venous access devices (CVAD) placement, replacement, or removal, including accessing the vessel, manipulating the…	10	$10	$140

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Mexico Distribution

Kristin Caplan — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
77001	35	40	20	$20	$620
49424	6	10	20	$20	$420
76080	5	10	20	$20	$300

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Radiology Associates Of Albuquerque, PA	NM	Diagnostic Radiology Physician	$0	$25.4M
Mercy Health System Corporation	WI	Multi-Specialty Clinic/Center	$0	$13.2M
Advanced Imaging LLC	NM	Diagnostic Radiology Physician	$0	$5.4M
Patrick Ryan	CA	Diagnostic Radiology Physician	$722.4K	$0
Kourosh Naeini	CA	Diagnostic Radiology Physician	$709.1K	$120
Sandeep Rao	AZ	Vascular & Interventional Radiology Physician	$634.9K	$0
Kent Hootman	NM	Diagnostic Radiology Physician	$504.4K	$0
Michael Benanti	IL	Diagnostic Radiology Physician	$469.7K	$460
Daniel Lucas	AZ	Diagnostic Radiology Physician	$298.3K	$164.6K
Kamiar Massrour	AZ	Diagnostic Radiology Physician	$211.3K	$227.7K

Kristin Caplan — Billing Profile & Reimbursement Data

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Kristin Caplan — 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