Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Bronx › NPI 1023121456

Kaplan, Evan

Kaplan, Evan was paid $720K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is V2500, Contact lens, pmma, spherical, per lens — 63% of everything it billed.

33Billing provider infoKAPLAN, EVAN
BRONX, NY 10461
33aNPI1023121456assigned 08/17/2006
33bProvider typeOptometrist
28Total paid$720K
24GClaims14,086
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Optometrist providers in New York

Rank by total paid#136 of 1,605
Median peer was paid$29K
This provider vs. median25×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20181,376$51K
20191,801$57K
20202,282$57K
20212,733$151K
20222,610$210K
20232,424$172K
2024incomplete860$23K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2500 Contact lens, pmma, spherical, per lens 63% 775 753 $453K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 13% 2,958 2,921 $94K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 8.6% 1,780 1,690 $62K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 7.1% 3,312 2,037 $51K
V2020 Frames, purchases 4.9% 2,959 2,891 $35K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1.6% 331 319 $12K
92002 <1% 234 234 $6K
92310 <1% 47 42 $5K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 113 57 $655.20
92082 <1% 14 14 $487.47
V2784 Lens, polycarbonate or equal, any index, per lens <1% 1,342 694 $337.60
92015 Determination of refractive state <1% 184 184 $331.00
2 more codes
92225 <1% 17 $286.22
S0620 Routine ophthalmological examination including refraction; new patient <1% 20 $200.00

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.