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

Why is the Medicaid comparison limited to Maryland 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. Maryland (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.

Peter Kaplan (NPI 1720029010)

Field	Value
Entity Type	Individual
Organization	Peter Kaplan
Address	4940 Eastern Ave
City	Baltimore
State	MD
ZIP	21224
Taxonomy	Neurology Physician
NPI Enumerated	June 9, 2006

Payer Source	Total Paid
Medicare	$46.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	80	$110	$9K
95720	A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. A video is…	50	$170	$8.1K
95816	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	120	$50	$5.4K
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…	60	$60	$3.8K
99205	The 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…	30	$130	$3.4K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	30	$110	$3.2K
95718	A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. The EEG recording…	30	$110	$3K
99223	The 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…	20	$130	$2.8K
99221	The 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…	30	$70	$2.1K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	30	$70	$1.9K

Showing 1–10 of 14

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maryland Distribution

Peter Kaplan — 0 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. state median

14 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
95819	58	80	60	$260	$30.1K
99214	7,398	10,270	150	$90	$24.1K
95720	22	40	60	$170	$12.7K
99232	2,655	3,350	80	$60	$11.1K
99215	1,206	4,070	50	$120	$10.9K
99223	2,167	2,930	40	$140	$10.3K
99204	5,169	5,380	40	$120	$7.3K
99205	981	1,910	30	$160	$6.5K
95816	15	80	40	$100	$6.2K
99222	1,092	2,260	30	$100	$4.8K

Showing 1–10 of 14

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baltimore Medical System Inc	MD	Federally Qualified Health Center (FQHC)	$0	$121.2M
Medi-rents & Sales, Inc.	MD	Oxygen Equipment & Supplies (DME)	$0	$85.8M
Johns Hopkins Pharmaquip Inc	MD	Home Infusion Therapy Pharmacy	$0	$81.8M
Johns Hopkins Pediatrics At Home, Inc.	MD	Durable Medical Equipment & Medical Supplies	$0	$45.6M
Johns Hopkins Home Care Group, Inc	MD	Case Management Agency	$0	$43M
Community Wellness Outpatient Mental Health Center LLC	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$27.6M
Key Point Health Services, Inc	MD	Mental Illness Community Based Residential Treatment Facility	$0	$19.2M
Patient First Maryland Medical Group PLLC	MD	Family Medicine Physician	$0	$18.8M
Eastern Avenue Health Solutions Inc.	MD	Methadone Clinic	$340.5K	$16.6M
Community Wellness Psychiatric Rehabilitation Program LLC	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$13.9M

Peter Kaplan — Billing Profile & Reimbursement Data

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Peter Kaplan — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References