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    v1.0.28
    OpenPayerNPI Medicare & MedicaidScott Kaplan
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    Scott Kaplan — Billing Profile & Reimbursement Data

    NPI 1467680017 · Boston, MA · Neurology Physician

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    Scott Kaplan is a neurology physician provider located in Boston, Massachusetts. This profile covers 12 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
    OrganizationScott Kaplan
    Address133 Brookline Ave
    CityBoston
    StateMA
    ZIP02215
    TaxonomyNeurology Physician
    NPI EnumeratedJune 22, 2009

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

    Payer SourceTotal Paid
    Medicare$185.2K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0585Injection, onabotulinumtoxina, 1 unit25,400$10$127K
    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…210$100$20.6K
    64616The provider administers a chemical compound to the neck muscles on one side, avoiding the laryngeal muscles. The goal of this procedure is to paralyze the muscles. Providers may treat cervical…60$180$9.8K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…60$150$8.3K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…40$170$6.5K
    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…50$120$5.5K
    64615The provider bilaterally administers a chemical compound to the muscles innervated by the trigeminal, facial, cervical spinal, and accessory nerves. The goal of this procedure is to paralyze the…40$130$5.4K
    95874In this add–on procedure, the provider uses needle electromyography guidance for a chemodenervation injection. Chemodenervation is a process of injecting a neurotoxin like ethyl alcohol or Botox®…30$70$2.1K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…10$150$1.8K
    82607The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood.20$20$300

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0585131006,500$1$60.7K
    992144,41715,410110$80$15.6K
    6461693040$140$9.2K
    992152,3906,36040$120$8.9K
    8444355265050$20$8.2K
    992234,1174,43030$140$7.6K
    64615326040$110$7K
    992042,1505,87030$120$5.6K
    992056812,43030$160$5.5K
    364151,7272,130110$10$4.6K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Atrius Health, Inc.MAInternal Medicine Physician$0$14.5M
    Corey WesterfeldMAOphthalmology Physician$1.2M$0
    Mehnaz KhanMAOphthalmology Physician$871.2K$37.7K
    Stephen LyleMAAnatomic Pathology Physician$852.2K$40.3K
    Kavitha ReddyMADermatology Physician$868K$0
    David MeenanMAInternal Medicine Physician$40.4K$808.1K
    John LazorMAOtolaryngology Physician$280.9K$501.9K
    Robert LancasterMAVascular Surgery Physician$720.8K$0
    Karen Jeng-millerMAOphthalmology Physician$698.7K$0
    Rachel GrossMARheumatology Physician$612.6K$8.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Beth Israel Deaconess Medical Center, Inc.MAGeneral Acute Care Hospital$0$270.4M
    Dana-farber Cancer Institute, Inc.MAGeneral Acute Care Hospital$0$240.4M
    Associated Physicians Of Harvard Medical Faculty Physicians At Beth IsMAEmergency Medical Services (Emergency Medicine) Physician$0$34.9M
    Suburban Home Health Care IncMAHome Health Agency$0$23.6M
    Fenway Community Health Center, IncMAFederally Qualified Health Center (FQHC)$0$22.5M
    Planned Parenthood League Of Massachusetts, Inc.MAAmbulatory Family Planning Facility$0$12.8M
    Suburban Homemaking & Maternity Agency, Inc.MAHome Health Agency$0$6.7M
    Kids Are People Elementary SchoolMADevelopmentally Disabled Services Day Training Agency$0$6.4M
    Avnish DeobhaktaMARetina Specialist (Ophthalmology) Physician$1M$141.3K
    Daphna SpiegelMARadiation Oncology Physician$460.8K$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. Massachusetts Distribution
    Scott Kaplan — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts