Kaplan, Matthew

Kaplan, Matthew was paid $24K by Medicaid between Jan 2018 and Jan 2023, across 3 billing codes. Its largest line is 99285, emergency room visit (most serious) — 89% of everything it billed.

33Billing provider infoKAPLAN, MATTHEW
MISSION VIEJO, CA 92691

33aNPI1518991322assigned 07/10/2006

33bProvider typeEmergency Medicine Physician

28Total paid$24K

24GClaims387

24DCodes billed3

24AFirst – last monthJan 2018 – Jan 2023

Compared with peers

Next to other Emergency Medicine Physician providers in California

Rank by total paid#520 of 988

Median peer was paid$32K

This provider vs. median0.8×

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	375	$23K
2023	12	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	89%	228	225	$21K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	10%	25	25	$2K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	134	124	$90.30

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.