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

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

Frederick Kaplan (NPI 1447295571)

Field	Value
Entity Type	Individual
Organization	Frederick Kaplan
Address	750 Old Country Rd
City	Plainview
State	NY
ZIP	11803
Taxonomy	Internal Medicine Physician
NPI Enumerated	June 20, 2006

Payer Source	Total Paid
Medicare	$596.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	3,250	$50	$155.9K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	790	$150	$118.3K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	890	$90	$83K
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…	590	$110	$67K
90662	This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…	250	$70	$17.6K
94060	The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…	470	$40	$17.5K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	530	$30	$16.9K
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	90	$190	$16.6K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	200	$80	$15.5K
76775	A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. Kidneys, urinary bladder, and aorta). This particular CPT code is used when the…	250	$60	$14.2K

Showing 1–10 of 24

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Frederick Kaplan — 12 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

24 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2,174	30,450	90	$100	$19K
99213	7,528	31,440	80	$70	$12.1K
G0439	3	6,290	50	$130	$11.2K
87635	34	720	30	$50	$7.8K
93278	1	10	230	$30	$6.3K
99497	5	2,060	40	$70	$6.2K
G0438	37	1,150	20	$170	$4.9K
99203	6,100	11,360	30	$90	$4.7K
90662	81	4,000	40	$70	$4.1K
99212	1	7,850	30	$40	$3.6K

Showing 1–10 of 24

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mid Island Therapy Associates, LLC D/b/a All About Kids	NY	Developmentally Disabled Services Day Training Agency	$0	$26.9M
Central Nassau Guidance & Counseling Services, Inc.	NY	Mental Illness Community Based Residential Treatment Facility	$0	$26M
Acupath Laboratories, Inc.	NY	Clinical Medical Laboratory	$6.5M	$14.8M
Renal Focus Asc LLC	NY	Ambulatory Surgical Clinic/Center	$4.2M	$79.6K
Bijan Setareh-shenas	NY	Dermatology Physician	$1.4M	$2.8M
Peter Brennen	NY	Retina Specialist (Ophthalmology) Physician	$3M	$339.3K
Mehran Saboori	NY	Radiation Oncology Physician	$1.5M	$0
Shawn Zimberg	NY	Radiation Oncology Physician	$1.1M	$0
Mohsen Pahlavan	NY	Nephrology Physician	$768.8K	$305K
Prem Chatpar	NY	Rheumatology Physician	$939.3K	$5.3K

Frederick Kaplan — Billing Profile & Reimbursement Data

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Frederick 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

Nearby Providers

Frequently Asked Questions

References