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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSheldon Kaplan
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    Sheldon Kaplan — Billing Profile & Reimbursement Data

    NPI 1437185493 · Brick, NJ · Diagnostic Radiology Physician

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    Sheldon Kaplan is a diagnostic radiology physician provider located in Brick, New Jersey. This profile covers 40 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
    OrganizationSheldon Kaplan
    Address455 Jack Martin Blvd
    CityBrick
    StateNJ
    ZIP08724
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedJune 23, 2006

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

    Payer SourceTotal Paid
    Medicare$230.6K
    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.

    40 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    70553In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…120$260$31.9K
    72148In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.210$150$30.6K
    70551The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.150$150$23.3K
    78608In this diagnostic procedure, the provider performs PET, positron emission tomography, a type of nuclear imaging test. It tells how the brain is functioning with information on metabolism, such as…10$1,400$16.8K
    72141In this diagnostic procedure, the provider performs a magnetic resonance imaging (MRI) study of the cervical spinal canal and contents without using contrast material.100$140$14.3K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.50$210$10.2K
    72158In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents first without using contrast and again after injecting contrast material.30$260$6.7K
    70491The provider uses computed tomography to examine the neck’s soft tissue structures. The provider administers contrast for this exam.40$140$6.2K
    70486The provider uses computed tomography, or CT, to examine the maxillofacial area, such as the upper jaw or face structures. The provider does not administer contrast for this exam.50$110$6K
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.80$80$5.9K

    Showing 1–10 of 40

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 40 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    40 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A9552778060$140$15.5K
    721484735070$130$14.7K
    705537527060$170$14.5K
    74177494610100$100$14.4K
    7860871020$470$10.8K
    9388067488040$130$10.2K
    705517334070$90$9.8K
    70450421560190$30$9.3K
    7125042862090$60$8.5K
    7417646060070$80$8K

    Showing 1–10 of 40

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Atlanticare Regional Medical CenterNJGeneral Acute Care Hospital$0$215M
    Atlanticare Physician Group PANJClinic/Center$0$27.1M
    Belmond Community HospitalIARural Health Clinic/Center$0$1.9M
    Borys KrynyckyiNJNuclear Medicine Physician$1.4M$0
    Amjad SafviILVascular & Interventional Radiology Physician$568.9K$765.4K
    Anan HaijaNJRheumatology Physician$1.1M$0
    James WurzerNJRadiation Oncology Physician$940.1K$0
    Micah WattsNJVascular & Interventional Radiology Physician$777.9K$0
    Tejas PatelPADiagnostic Radiology Physician$655.6K$0
    Stephen PomeranzOHDiagnostic Radiology Physician$642.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    White Glove Community Care, Inc.NJHome Health Agency$0$540.7M
    Ocean Partnership For Children, Inc.NJCase Manager/Care Coordinator$0$66.5M
    Hmh Hospitals CorporationNJGeneral Acute Care Hospital$0$50M
    Summit Home Health Care, IncNJHome Health Agency$0$14.6M
    Brick Board Of EducationNJLocal Education Agency (LEA)$0$12.2M
    White Glove Community Care, Inc.NJHome Health Agency$0$9.4M
    Monmouth Healthcare ServicesNJMethadone Clinic$111K$4.9M
    Seashore Surgical Institute, LLCNJAmbulatory Surgical Clinic/Center$3.6M$6.4K
    Mutahir AbidiNJRheumatology Physician$1.6M$0
    Aditya MehraNJCardiovascular Disease Physician$1.2M$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
    Sheldon Kaplan — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey