Physician
Marc a Kaplan PLLC
Marc a Kaplan PLLC was paid $251K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 76% of everything it billed.
33Billing provider infoMARC A KAPLAN PLLC
SIERRA VISTA, AZ 85635
SIERRA VISTA, AZ 85635
33aNPI1699796631assigned 07/23/2006
33bProvider typeFamily Medicine Physician
28Total paid$251K
24GClaims5,931
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Arizona
Rank by total paid#149 of 442
Median peer was paid$77K
This provider vs. median3.3×
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 | 594 | $25K | |
| 2019 | 616 | $26K | |
| 2020 | 803 | $34K | |
| 2021 | 986 | $48K | |
| 2022 | 1,341 | $56K | |
| 2023 | 1,003 | $37K | |
| 2024incomplete | 588 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 76% | 4,554 | 3,700 | $191K |
| 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 | 24% | 1,063 | 934 | $59K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 28 | 26 | $554.40 |
| 90756 | <1% | 17 | 15 | $310.60 | |
| 1160F | 0% | 134 | 126 | $0.00 | |
| 1159F | 0% | 135 | 126 | $0.00 |
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 officialSIMMONS, BRENDA (OFFICE MANAGER)