Kaplan, Howard

Kaplan, Howard was paid $12K by Medicaid between Oct 2018 and Jun 2024, across 3 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 52% of everything it billed.

33Billing provider infoKAPLAN, HOWARD
POUGHKEEPSIE, NY 12601

33aNPI1134224702assigned 09/14/2006

33bProvider typeRetina Specialist (Ophthalmology) Physician

28Total paid$12K

24GClaims551

24DCodes billed3

24AFirst – last monthOct 2018 – Jun 2024

Compared with peers

Next to other Retina Specialist (Ophthalmology) Physician providers in New York

Rank by total paid#41 of 60

Median peer was paid$52K

This provider vs. median0.2×

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	13	$212.85
2019	129	$2K
2020	76	$2K
2021	135	$3K
2022	79	$2K
2023	53	$1K
2024incomplete	66	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	52%	232	228	$6K
92134		27%	246	244	$3K
67028	Intravitreal injection of a pharmacologic agent	21%	73	65	$2K

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.