Kaplan, Abe

Kaplan, Abe was paid $3K by Medicaid between May 2019 and Oct 2024, across 3 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 44% of everything it billed.

33Billing provider infoKAPLAN, ABE
BUFFALO GROVE, IL 60089

33aNPI1407843816assigned 09/30/2005

33bProvider typeOphthalmology Physician

28Total paid$3K

24GClaims130

24DCodes billed3

24AFirst – last monthMay 2019 – Oct 2024

Compared with peers

Next to other Ophthalmology Physician providers in Illinois

Rank by total paid#353 of 431

Median peer was paid$34K

This provider vs. median0.1×

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
2019	13	$93.20
2020	18	$209.70
2022	73	$2K
2024incomplete	26	$830.28

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	44%	86	77	$1K
92136		39%	31	25	$1K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	17%	13	13	$465.96

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.