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

    NPI 1750443289 · Houston, TX · Otolaryngology Physician

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    Michael Kaplan is a otolaryngology physician provider located in Houston, Texas. This profile covers 24 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
    Address4101 Greenbriar St Ste 320
    CityHouston
    StateTX
    ZIP77098
    TaxonomyOtolaryngology Physician
    NPI EnumeratedDecember 14, 2006

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

    Payer SourceTotal Paid
    Medicare$2M
    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J3490Unclassified drugs130$6,570$861.1K
    31298The provider passes an endoscope into the nasal cavity of the patient through which he passes a balloon–tipped catheter and dilates the ostium (opening) of the frontal and sphenoid sinuses.140$3,800$516.4K
    31295The provider passes an endoscope into the nasal cavity of the patient. He also dilates the ostium, or opening, of the maxillary sinus. The approach is either through the nose or via a depression on…140$1,790$243.3K
    30117In this procedure, the provider excises or destroys a lesion in the nose through an internal approach, in which the provider places the surgical instruments into the nose to perform the procedure.260$400$102.7K
    31237In this procedure, the provider inserts an endoscope into the nasal cavity. She examines the nasal contents. The provider then performs a nasal biopsy, polypectomy, or debridement.220$310$67.5K
    30468The provider repairs the collapse (narrowing) of a nasal valve by using one or more implants that rest beneath the skin or mucous membrane in the lateral wall of the nose.40$1,050$45K
    31254Partial surgical anterior ethmoidectomy involves the removal of the uncinate process (infundibulotomy), opening of the bulla, and partial removal of the anterior ethmoid cells.100$300$30.2K
    30140This CPT code is for a submucous resection of the inferior turbinate (partial or complete by any method).140$180$24.3K
    77011In this procedure, the provider uses computed tomography guidance to locate small targets inside the body using a three–dimensional coordinate system.140$180$24.2K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.160$150$23.5K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3129814020$3,700$99.9K
    J34905035060$480$54.4K
    3046811040$1,050$45K
    3129515020$1,610$45K
    3011714040$450$20.7K
    95165281390940$10$18.9K
    9921428,91532,500110$80$17.6K
    31237112040$270$12.8K
    3125412020$400$10.7K
    312314445050$130$10.2K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Anoop AhujaTXOtolaryngology Physician$97.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    In-home Attendant Services, Ltd.TXPersonal Care Attendant$0$261.9M
    Joseph SedrakTXMOHS-Micrographic Surgery Physician$4.4M$0
    Anthony LamarraTXFoot & Ankle Surgery Podiatrist$1.4M$0
    Charles SoparkarTXOphthalmic Plastic and Reconstructive Surgery Physician$346.1K$0
    Latricia GillisTXFamily Medicine Physician$198.6K$0
    Isaac RaijmanTXGastroenterology Physician$175.3K$0
    Andrew TennTXDiagnostic Radiology Physician$127.3K$0
    Jamshid LotfiTXNeurology Physician$124.6K$0
    Dang NguyenTXGastroenterology Physician$112.5K$0
    Son HuynhTXDiagnostic Radiology Physician$98.5K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    Michael Kaplan — 9 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas