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

Why is the Medicaid comparison limited to Maine 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. Maine (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.

Lane Kaplan (NPI 1427162809)

Field	Value
Entity Type	Individual
Organization	Lane Kaplan
Address	93 Campus Ave
City	Lewiston
State	ME
ZIP	04240
Taxonomy	Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
NPI Enumerated	August 19, 2006

Payer Source	Total Paid
Medicare	$26.1K
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
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	$70	$16.7K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	130	$50	$5.8K
29581	The provider applies a layered bandage to the lower leg, ankle, and foot, to treat venous stasis ulcers and venous insufficiency, the failure of the blood veins immediately below the skin. A…	140	$30	$3.5K

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. Maine Distribution

Lane Kaplan — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	260	2,500	70	$70	$7.2K
11042	5	30	50	$50	$4.2K
29581	3	10	50	$20	$2.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Mary's Regional Medical Center	ME	General Acute Care Hospital	$0	$67.4M
St. Mary's Regional Medical Center	ME	Urgent Care Clinic/Center	$0	$1.3M
Mirela Andrei	WA	Medical Oncology Physician	$1M	$0
Lauren Blais	ME	Family Nurse Practitioner	$111.3K	$0
Eric Black-maier	GA	Clinical Cardiac Electrophysiology Physician	$104.9K	$0
Charles Carpenter	ME	Clinical Cardiac Electrophysiology Physician	$89K	$0
Edward Teufel	ME	Cardiovascular Disease Physician	$82.7K	$0
Michael Newman	ME	Orthopaedic Surgery Physician	$82.5K	$0
Joseph Wight	ME	Cardiovascular Disease Physician	$80.1K	$0
Andre Couture	ME	Emergency Medicine Physician	$79.7K	$0

Lane Kaplan — Billing Profile & Reimbursement Data

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Lane 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