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

Why is the Medicaid comparison limited to South Carolina 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. South Carolina (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.

Rachel Kaplan (NPI 1568889582)

Rachel Kaplan is a clinical cardiac electrophysiology physician provider located in Charleston, South Carolina. This profile covers 27 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.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Rachel Kaplan
Address	25 Courtenay Dr
City	Charleston
State	SC
ZIP	29425
Taxonomy	Clinical Cardiac Electrophysiology Physician
NPI Enumerated	March 27, 2014

Payer Source	Total Paid
Medicare	$121.1K
Medicaid	$0

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

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
93656	A comprehensive electrophysiologic (EP) study involves the provider placing wire electrodes in the heart to measure electrical activity. The provider punctures the thin wall between the heart…	40	$700	$25.8K
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…	180	$90	$16.1K
33340	The provider implants a device that he delivers through a catheter placed through the skin under fluoroscopic guidance and across the septum to close off the left atrial appendage, uses angiography…	20	$550	$11K
99204	The 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…	70	$120	$8.1K
33208	The provider inserts or replaces a permanent pacemaker and implants electrodes into the right atrium and right ventricle.	20	$380	$8K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	1,070	$10	$6.4K
99215	The 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…	50	$130	$6.2K
93655	In this procedure, the provider tests the electrical activity in the heart after an ablation procedure, to test its effectiveness and identify any other areas responsible for an abnormal rhythm. He…	20	$230	$3.9K
93248	After a patient has worn an electrocardiographic, or ECG recorder, for more than seven days, up to 15 days, to detect abnormal heart rates and rhythm, the provider completes a review and…	200	$20	$3.7K
93294	The provider, a physician or other qualified health care professional, remotely analyzes, for a period up to 90 days, the function of a single, dual, multiple lead, or leadless pacemaker system,…	160	$20	$3.6K

Showing 1–10 of 27

Rachel Kaplan — Billing Profile & Reimbursement Data

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

Rachel Kaplan — Billing Profile & Reimbursement Data

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

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93656	22	40	40	$700	$33.1K
33340	30	30	40	$550	$25.3K
99214	3,705	7,860	160	$80	$23.2K
33208	43	60	30	$370	$11.5K
93655	27	30	40	$230	$11.3K
99213	6,087	7,690	100	$60	$10.8K
99215	1,018	2,360	40	$120	$9.3K
99204	1,267	4,520	40	$110	$6.4K
93294	87	200	130	$20	$4.6K
93298	77	130	140	$20	$4.3K