Kaplan, Jonathan
Kaplan, Jonathan was paid $2.33M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 20% of everything it billed.
33Billing provider infoKAPLAN, JONATHAN
PAWTUCKET, RI 02860
PAWTUCKET, RI 02860
33aNPI1023077898assigned 03/21/2006
33bProvider typeOptometrist
28Total paid$2.33M
24GClaims67,452
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Rhode Island
Rank by total paid#2 of 209
Median peer was paid$24K
This provider vs. median98×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 15,287 | $437K | |
| 2019 | 3,562 | $98K | |
| 2020 | 8,322 | $244K | |
| 2021 | 12,785 | $439K | |
| 2022 | 9,794 | $388K | |
| 2023 | 9,384 | $401K | |
| 2024incomplete | 8,318 | $324K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 20% | 6,611 | 6,442 | $463K |
| 92250 | 15% | 10,313 | 10,010 | $352K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 12% | 2,425 | 2,376 | $281K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 11% | 7,438 | 5,908 | $249K |
| V2020 | Frames, purchases | 10% | 11,426 | 11,105 | $239K |
| 92015 | Determination of refractive state | 6.0% | 6,156 | 5,948 | $141K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 5.6% | 2,399 | 1,845 | $130K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 4.3% | 3,220 | 2,680 | $101K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 3.6% | 4,925 | 4,743 | $84K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 2.9% | 5,449 | 3,694 | $68K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.6% | 1,014 | 982 | $37K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.4% | 1,603 | 1,546 | $32K |
10 more codes
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 1.3% | 864 | $30K |
| 92341 | 1.3% | 1,508 | $29K | |
| 99213 | Doctor's office visit, returning patient (routine) | 1.2% | 588 | $29K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.2% | 547 | $27K |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 620 | $22K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 150 | $7K |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 136 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 32 | $1K |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 16 | $1K |
| V2025 | Deluxe frame | <1% | 12 | $597.70 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.