Kaplan, Edward

Kaplan, Edward was paid $92K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 67% of everything it billed.

33Billing provider infoKAPLAN, EDWARD
MORTON GROVE, IL 60053

33aNPI1639181084assigned 08/13/2006

33bProvider typeHematology & Oncology Physician

28Total paid$92K

24GClaims5,032

24DCodes billed8

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Hematology & Oncology Physician providers in Illinois

Rank by total paid#65 of 285

Median peer was paid$31K

This provider vs. median3.0×

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	484	$10K
2019	632	$9K
2020	281	$7K
2021	921	$17K
2022	1,046	$23K
2023	1,103	$19K
2024incomplete	565	$6K

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	67%	2,252	2,012	$61K
96413	Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance	13%	454	287	$12K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	9.3%	1,116	586	$8K
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	5.7%	235	226	$5K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	3.8%	612	367	$3K
96367		<1%	45	25	$554.19
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%	42	39	$377.53
36415	Collection of venous blood by venipuncture	<1%	276	203	$268.53

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.