Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidStuart Kaplan
    Ask Trek AI about this page

    Stuart Kaplan — Billing Profile & Reimbursement Data

    NPI 1437126521 · Sunrise, FL · Diagnostic Radiology Physician

    Customize your policy alerts

    Sign up for Stuart Kaplan — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Stuart Kaplan is a diagnostic radiology physician provider located in Sunrise, Florida. This profile covers 11 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationStuart Kaplan
    Address4300 N University Dr
    CitySunrise
    StateFL
    ZIP33351
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedMarch 7, 2006

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

    Payer SourceTotal Paid
    Medicare$87.1K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…620$40$24K
    76641In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.570$40$22.1K
    77066The provider performs X–ray imaging on both breasts in a patient with a lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential abnormalities…330$40$12.5K
    77063The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…260$30$8.4K
    77049The provider obtains images of both breasts by applying an external magnetic field and radiofrequency waves to create three–dimensional images, with and without contrast; he may also perform…60$90$5.7K
    G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)190$30$4.8K
    77065The provider performs X–ray imaging on one breast in a patient with a known lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential…150$30$4.3K
    19083Under ultrasound guidance, the provider takes breast tissue percutaneously from a single lesion for biopsy. He may place a localization device at the same time.20$130$2.9K
    76642In this procedure, the provider performs a focused ultrasound of one breast on a limited area. The procedure includes documentation of the images.50$30$1.5K
    19000The provider drains out the fluid from a breast cyst by inserting a needle into it.10$40$490

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    77067190960170$90$36.4K
    77063358910170$40$17.3K
    766411942060$70$9.7K
    770495723030$180$8.8K
    770661460060$80$7.4K
    1908310723020$250$6.6K
    770659360060$60$5.1K
    G027915562090$30$4.5K
    7664228853060$50$3.9K
    7694268196030$40$2.4K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Abisola OdunmbakuMDBody Imaging Physician$457.2K$0
    Neelima ReddyFLDiagnostic Radiology Physician$371.4K$0
    Daryl EberFLDiagnostic Radiology Physician$350.6K$0
    Annie YuenFLDiagnostic Radiology Physician$339.1K$0
    Chetan RajadhyakshaFLDiagnostic Radiology Physician$198.7K$0
    David WymerFLNuclear Radiology Physician$92.9K$31.9K
    Nirav JoshiGADiagnostic Radiology Physician$109.5K$0
    John ChaloupkaFLVascular & Interventional Radiology Physician$107.4K$0
    Vinay BhatiaFLDiagnostic Radiology Physician$99.8K$0
    Shahzeb NiaziFLDiagnostic Radiology Physician$90K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Consumer Direct For FloridaFLHome Health Agency$0$156.3M
    Cr & Ra Investments LLCFLHome Health Agency$0$57M
    Tirso LaraFLOphthalmology Physician$1.5M$0
    Richard BransgroveFLOptometrist$562.3K$857K
    Baptist Surgery And Endoscopy Centers LLCFLOphthalmologic Surgery Clinic/Center$1.2M$0
    Elisabeth NguyenFLOptometrist$231.8K$363.4K
    Ross NochimsonFLInternal Medicine Physician$284.2K$0
    Marlene MosterFLOphthalmology Physician$249.9K$0
    Marjorie GillespieFLPsychiatric/Mental Health Nurse Practitioner$19.7K$172.2K
    Henry SprattFLOphthalmology Physician$184.1K$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. Florida Distribution
    Stuart Kaplan — 2 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida