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 & MedicaidAlyson Kaplan
    Ask Trek AI about this page

    Alyson Kaplan — Billing Profile & Reimbursement Data

    NPI 1457706061 · Phoenix, AZ · Otolaryngology Physician

    Customize your policy alerts

    Sign up for Alyson 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.

    Alyson Kaplan is a otolaryngology physician provider located in Phoenix, Arizona. This profile covers 10 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
    OrganizationAlyson Kaplan
    Address4530 E Shea Blvd Ste 180
    CityPhoenix
    StateAZ
    ZIP85028
    TaxonomyOtolaryngology Physician
    NPI EnumeratedMay 2, 2016

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

    Payer SourceTotal Paid
    Medicare$60.2K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…260$60$16.1K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.70$130$8.9K
    99203The provider sees a new 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 provider…110$80$8.7K
    31237In this procedure, the provider inserts an endoscope into the nasal cavity. She examines the nasal contents. The provider then performs a nasal biopsy, polypectomy, or debridement.30$240$7.9K
    31575The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.70$90$6.2K
    99214The 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…50$100$5K
    99204The provider sees a new 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 provider…20$120$2.7K
    69433The provider makes a small opening in the eardrum and inserts a ventilating tube under local or topical anesthesia.20$140$2.6K
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.50$30$1.4K
    G0268Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing20$30$570

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992147,37110,410120$80$20.6K
    312316212070$130$16.3K
    31237254040$260$15.2K
    992131,6969,60080$60$9.6K
    992044,0715,79040$110$6.7K
    315754512060$90$6.6K
    992035614,10040$70$4K
    G0268496050$40$3.7K
    6943361020$150$3.4K
    6921012437030$30$1.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Manikandan SugumaranAZOtolaryngology Physician$216.3K$0
    Griffin SantarelliAZPlastic Surgery within the Head & Neck (Otolaryngology) Physician$121.1K$0
    Glenn RothmanAZOtolaryngology Physician$112.8K$0
    Chetan GujrathiAZOtolaryngology Physician$104.8K$0
    Shawn StevensAZOtolaryngology Physician$90.6K$0
    Gretchen May CalachanAZAudiologist$17.4K$0
    Sara DavisAZSpeech-Language Pathologist$15.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wheels On The Bus, Inc.AZHome Health Agency$0$14.5M
    Laser Surgery Holding Company, LtdAZAmbulatory Surgical Clinic/Center$1.3M$12.3M
    Places You'll Go Therapy LLCAZOccupational Therapist$0$8.6M
    Kumaraswamy SivakumarAZNeuromuscular Medicine (Psychiatry & Neurology) Physician$3.5M$0
    Tania CortasAZHematology & Oncology Physician$1.1M$0
    John KreslAZRadiation Oncology Physician$938.6K$0
    Amber FlahertyAZMedical Oncology Physician$855.2K$0
    Joseph GiancolaAZDermatology Physician$838.3K$0
    James FosheeAZMOHS-Micrographic Surgery Physician$805.9K$0
    Lauren StegmanAZRadiation Oncology Physician$672.9K$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. Arizona Distribution
    Alyson Kaplan — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona