Physician
Gary B. Kaplan, M.D.,Inc
Gary B. Kaplan, M.D.,Inc was paid $259K by Medicaid between Jan 2018 and Sep 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
33Billing provider infoGARY B. KAPLAN, M.D.,INC
WILLOUGHBY HILLS, OH 44094
WILLOUGHBY HILLS, OH 44094
33aNPI1558455329assigned 10/03/2006
33bProvider typePulmonary Disease Physician
28Total paid$259K
24GClaims11,461
24DCodes billed8
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Ohio
Rank by total paid#10 of 42
Median peer was paid$34K
This provider vs. median7.5×
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 | 1,454 | $31K | |
| 2019 | 3,007 | $56K | |
| 2020 | 1,889 | $43K | |
| 2021 | 2,195 | $57K | |
| 2022 | 1,720 | $41K | |
| 2023 | 826 | $18K | |
| 2024incomplete | 370 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 36% | 2,457 | 2,205 | $93K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 28% | 5,102 | 2,851 | $72K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 27% | 2,918 | 1,115 | $69K |
| 99223 | Prolong inpt eval add15 m | 6.4% | 373 | 346 | $17K |
| 94010 | 1.8% | 458 | 411 | $5K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 67 | 62 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 71 | 69 | $2K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 15 | 15 | $116.28 |
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.
From NPPES
Who's on the registration
Authorized officialKAPLAN, GARY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| DR Gary S Kaplan PC | Detroit, MI | $35K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.