Kaplan, Allen
Kaplan, Allen was paid $312K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 52% of everything it billed.
33Billing provider infoKAPLAN, ALLEN
CATSKILL, NY 12414
CATSKILL, NY 12414
33aNPI1235110867assigned 11/10/2005
33bProvider typeOptometrist
28Total paid$312K
24GClaims11,947
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in New York
Rank by total paid#297 of 1,605
Median peer was paid$29K
This provider vs. median11×
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 | 1,255 | $31K | |
| 2019 | 2,061 | $47K | |
| 2020 | 1,985 | $48K | |
| 2021 | 2,121 | $54K | |
| 2022 | 1,951 | $54K | |
| 2023 | 1,742 | $50K | |
| 2024incomplete | 832 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 52% | 3,538 | 3,321 | $161K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 26% | 2,098 | 1,308 | $82K |
| V2020 | Frames, purchases | 16% | 2,698 | 2,582 | $51K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 2.3% | 147 | 90 | $7K |
| 92225 | <1% | 324 | 320 | $3K | |
| 92202 | <1% | 548 | 542 | $3K | |
| 92002 | <1% | 99 | 99 | $2K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 34 | 34 | $1K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 56 | 28 | $1K |
| 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% | 14 | 14 | $815.53 |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 14 | 14 | $560.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 2,377 | 1,125 | $220.00 |
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.