Physician
Bertram D Kaplan MD PLLC
Bertram D Kaplan MD PLLC was paid $2.15M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoBERTRAM D KAPLAN MD PLLC
MEMPHIS, TN 38119
MEMPHIS, TN 38119
33aNPI1023410941assigned 09/23/2014
33bProvider typeDermatology Physician
28Total paid$2.15M
24GClaims59,200
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dermatology Physician providers in Tennessee
Rank by total paid#5 of 42
Median peer was paid$55K
This provider vs. median39×
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 | 9,714 | $343K | |
| 2019 | 9,488 | $344K | |
| 2020 | 8,940 | $317K | |
| 2021 | 8,606 | $318K | |
| 2022 | 7,991 | $302K | |
| 2023 | 7,689 | $286K | |
| 2024incomplete | 6,772 | $243K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 51% | 31,702 | 28,982 | $1.09M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 13% | 4,858 | 4,581 | $283K |
| 99243 | 12% | 2,688 | 2,544 | $249K | |
| 11901 | 7.7% | 5,064 | 4,299 | $165K | |
| 11102 | 3.8% | 1,491 | 1,344 | $82K | |
| 17110 | 3.4% | 1,443 | 1,287 | $73K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.5% | 4,973 | 4,482 | $54K |
| 10040 | 1.6% | 483 | 462 | $35K | |
| 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 | 1.5% | 580 | 542 | $33K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 1,221 | 993 | $25K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 3,059 | 2,719 | $13K |
| 11900 | <1% | 518 | 451 | $13K |
6 more codes
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.
From NPPES
Who's on the registration
Authorized officialKAPLAN, BERTRAM (OWNER/PROVIDER)