Kaplan, Richard

Kaplan, Richard was paid $270K by Medicaid between Jan 2018 and Dec 2024, across 4 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 68% of everything it billed.

33Billing provider infoKAPLAN, RICHARD
PARK RIDGE, IL 60068

33aNPI1356378384assigned 06/26/2006

33bProvider typePediatric Nephrology Physician

28Total paid$270K

24GClaims6,300

24DCodes billed4

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatric Nephrology Physician providers in Illinois

Rank by total paid#1 of 18

Median peer was paid$8K

This provider vs. median33×

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	746	$29K
2019	1,191	$33K
2020	640	$27K
2021	851	$38K
2022	858	$40K
2023	1,078	$50K
2024incomplete	936	$52K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	68%	3,064	2,838	$183K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	29%	1,507	308	$77K
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	2.0%	100	59	$5K
81002		1.6%	1,629	1,552	$4K

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.