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    v1.0.28
    OpenPayerNPI Medicare & MedicaidLaura Caplan
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    Laura Caplan — Billing Profile & Reimbursement Data

    NPI 1659627826 · Boston, MA · Physician Assistant

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    Laura Caplan is a physician assistant provider located in Boston, Massachusetts. This profile covers 11 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.

    (source: NPPES NPI Registry)

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    Progress1 / 7

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    Provider details
    FieldValue
    Entity TypeIndividual
    OrganizationLaura Caplan
    Address725 Albany St, Suite 3b
    CityBoston
    StateMA
    ZIP02118
    TaxonomyPhysician Assistant
    NPI EnumeratedJuly 25, 2012

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

    Payer SourceTotal Paid
    Medicare$29.2K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99212The 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,…210$40$8.1K
    51720This is a common treatment for bladder cancer. It involves instilling an anticarcinogenic agent into the bladder through a catheter. The provider leaves the agent in the bladder for a period of time…130$60$7.7K
    99442N/A80$60$4.8K
    J9201Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg600$1$1.8K
    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…30$60$1.8K
    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…20$80$1.4K
    51700Bladder irrigation and instillation are used to deliver medication directly to the bladder via a catheter.  These medications are usually anti–inflammatory agents used to treat infection or…10$60$650
    51798Providers perform this ultrasound to measure the volume of residual urine in the bladder.60$10$560
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…160$1$320
    51741Uroflowmetry (UFR) is the process of measuring how much liquid the patient excretes from the bladder. It is measured in cubic centimeters per second. The rate is the ratio of volume over time.10$10$120

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921324,28313,70070$60$8.8K
    5172065050$70$4.9K
    992038,4614,29030$80$4.1K
    J91711104,660$1$2.6K
    994424931,20020$60$2.6K
    992126162,66030$40$2.4K
    51798421250150$10$2.1K
    J9201310740$1$2K
    517001359020$50$1.5K
    5174136614030$10$520

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Windsor TingNYVascular Surgery Physician$36.3K$1.6M
    Sung Yup KimNYVascular Surgery Physician$290.9K$515.6K
    Rami TadrosNYVascular Surgery Physician$516.7K$41.9K
    Alex Ky-miyasakaNYSurgery Physician$196.2K$155.4K
    Marco HarmatyNYPlastic Surgery Physician$294.6K$0
    Philip TorinaNYPlastic Surgery Physician$277.7K$11.6K
    Michael DudkiewiczNYVascular Surgery Physician$174.5K$81.5K
    Ajit RaoNYVascular Surgery Physician$158.5K$80.6K
    Justin GeorgeNYVascular Surgery Physician$175.1K$27.4K
    John PhairNYVascular Surgery Physician$172.4K$22K

    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
    Laura Caplan — 1 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts