Physician
Caplan, Steven
Caplan, Steven was paid $318K by Medicaid between Jan 2020 and May 2023, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoCAPLAN, STEVEN
BALTIMORE, MD 21211
BALTIMORE, MD 21211
33aNPI1124005343assigned 12/29/2005
33bProvider typePediatrics Physician
28Total paid$318K
24GClaims5,129
24DCodes billed18
24AFirst – last monthJan 2020 – May 2023
Compared with peers
Next to other Pediatrics Physician providers in Maryland
Rank by total paid#140 of 306
Median peer was paid$206K
This provider vs. median1.5×
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 | |
|---|---|---|---|
| 2020 | 1,352 | $70K | |
| 2021 | 1,416 | $83K | |
| 2022 | 1,758 | $118K | |
| 2023 | 603 | $47K |
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 | 50% | 1,871 | 1,745 | $158K |
| 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 | 28% | 740 | 686 | $88K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.6% | 144 | 141 | $15K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.7% | 113 | 109 | $12K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.4% | 213 | 191 | $11K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.4% | 1,256 | 1,240 | $11K |
| 90686 | 2.6% | 376 | 374 | $8K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 42 | 42 | $5K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.3% | 40 | 39 | $4K |
| 92552 | <1% | 77 | 77 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 41 | 35 | $894.88 |
| W7010 | <1% | 54 | 54 | $873.63 |
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.