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

Why is the Medicaid comparison limited to New York 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. New York (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.

Drew Caplin (NPI 1821040080)

Field	Value
Entity Type	Individual
Organization	Drew Caplin
Address	300 Community Dr
City	Manhasset
State	NY
ZIP	11030
Taxonomy	Vascular & Interventional Radiology Physician
NPI Enumerated	May 16, 2006

Payer Source	Total Paid
Medicare	$5.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	10	$150	$1.7K
77012	In this procedure, the provider performs supervision and interpretation for a separately reportable procedure that uses computed tomography guided needle placement, as in biopsy or aspiration. Report…	20	$60	$1.3K
36573	Under imaging guidance, the provider places a catheter through the basilic or cephalic vein in the arm and directs it into one of the major veins carrying blood to the heart or directly into the…	20	$80	$1.3K
49424	In this procedure, the provider injects a contrast material into an existing drainage catheter. He performs this procedure to more clearly visualize and assess the size, type, and location of the…	20	$30	$510
77001	Report this code as an add–on code to the primary procedure code, such as central venous access devices (CVAD) placement, replacement, or removal, including accessing the vessel, manipulating the…	20	$20	$360
76080	The provider performs supervision and interpretation of an abscess, fistula, or sinus tract imaging study.	20	$20	$350
76937	The provider uses ultrasound to help guide procedures requiring vascular access including central venous, peripheral venous, or arterial access procedures.	20	$10	$290

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Drew Caplin — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99204	13,534	14,170	30	$130	$6.6K
36573	73	110	20	$70	$1.9K
77012	102	200	20	$60	$1.7K
77001	196	310	30	$30	$930
49424	4	10	20	$50	$850
76937	461	750	30	$20	$660
76080	7	10	20	$20	$450

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Long Island Jewish Medical Center	NY	General Acute Care Hospital	$0	$370.9M
Ann Anderson	NY	Clinical Pathology/Laboratory Medicine Physician	$5.2M	$0
Thomas Mannino	NY	Diagnostic Radiology Physician	$851.8K	$0
Anca-oana Kranz	NY	Diagnostic Radiology Physician	$552.5K	$1.2K
Atul Gupta	VA	Diagnostic Radiology Physician	$319.1K	$120.4K
Barry Kaplan	NY	Cardiovascular Disease Physician	$406.5K	$10.4K
Bradley Gluck	NY	Diagnostic Radiology Physician	$362.1K	$24.6K
Adarsh Gupta	NY	Psychiatry Physician	$374.6K	$0
Yasser Mir	NY	Neuroradiology Physician	$296K	$71.2K
Craig Warshall	NY	Neuroradiology Physician	$277.6K	$81.9K

Drew Caplin — Billing Profile & Reimbursement Data

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Drew Caplin — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References