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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMichael Kaplan
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    Michael Kaplan — Billing Profile & Reimbursement Data

    NPI 1720016595 · Alexandria, VA · Vascular & Interventional Radiology Physician

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    Michael Kaplan is a vascular & interventional radiology physician provider located in Alexandria, Virginia. This profile covers 28 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
    OrganizationMichael Kaplan
    Address4320 Seminary Rd
    CityAlexandria
    StateVA
    ZIP22304
    TaxonomyVascular & Interventional Radiology Physician
    NPI EnumeratedJune 29, 2006

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

    Payer SourceTotal Paid
    Medicare$52.6K
    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.

    28 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    49083In this procedure, the provider withdraws an abnormal buildup of fluid from the abdominal cavity to relieve pressure and pain or to obtain a sample to submit to a laboratory for analysis. He…70$90$5.8K
    36561A central venous access catheter is a device that the physician inserts beneath the skin to draw blood or administer medication/nutrients to the patient.  The catheter's tip must terminate in the…20$300$5K
    93970The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…170$30$4.7K
    99221The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…60$70$4.1K
    32555In this procedure, the provider removes the fluid, blood, or air from the space between the lungs and chest wall using a needle or catheter.  He performs the procedure using imaging guidance.40$90$3.6K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…70$40$3K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…100$30$2.9K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.30$80$2.5K
    36558The provider places a catheter, without a subcutaneous port or pump in one of the major veins carrying the blood to the heart or directly into the right atrium, to administer medication, nutrients,…10$230$2.5K
    93971The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…140$20$2.4K

    Showing 1–10 of 28

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    28 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921412,69012,890140$80$21K
    74177525590150$80$15.1K
    9921310,79912,44090$60$10K
    365617011020$330$8.3K
    9388015442060$80$7.9K
    7700218422030$70$6.7K
    9392517019020$130$6K
    7417824828030$140$5.8K
    365589911020$240$4.9K
    939704748040$60$4.4K

    Showing 1–10 of 28

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Fairfax Radiological ConsultantsVASpecialist$0$10.8M
    Hooman SaberiniaVAInternal Medicine Physician$9.6M$0
    Manan MehtaVAHematology & Oncology Physician$1.5M$0
    Salman MuftiVADiagnostic Radiology Physician$1.2M$0
    Paul ButrosVADiagnostic Radiology Physician$844.4K$0
    Wei Shen GriggsVADiagnostic Radiology Physician$701.4K$0
    Abbas TuliNYDiagnostic Radiology Physician$696.4K$0
    Arpita SwamiWADiagnostic Radiology Physician$671.5K$0
    Brigid CastroVADiagnostic Radiology Physician$639.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Inova Health Care ServicesVAGeneral Acute Care Hospital$0$69M
    Dependable Home Health ServicesVAHome Health Agency$0$19.4M
    Hispanic American Pediatric AssociatesVAPrimary Care Clinic/Center$0$10.5M
    All Reliant Homecare, CorpVAPersonal Care Attendant$0$10M
    Advanced Dermatology Of Virginia IncVADermatology Physician$0$9.2M
    Rehabilitation Equipment ProfessionalsVACustomized Equipment (DME)$0$5.8M
    Enrico GiangerusoVAAnatomic Pathology & Clinical Pathology Physician$1.4M$0
    Alina HuangVAHematology & Oncology Physician$1.4M$0
    Jacob NinanVAHematology & Oncology Physician$1.1M$0
    Simone MckittyVADermatology Physician$1.1M$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. Virginia Distribution
    Michael Kaplan — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia