Clinic
Jeffrey Kaplan, M.D. Pediatric Medicine, INC
Jeffrey Kaplan, M.D. Pediatric Medicine, INC was paid $7.21M by Medicaid between Jan 2018 and Nov 2024, across 59 billing codes. Its largest line is 99051, — 21% of everything it billed.
33Billing provider infoJEFFREY KAPLAN, M.D. PEDIATRIC MEDICINE, INC
SANTA MARIA, CA 93454
SANTA MARIA, CA 93454
33aNPI1881941433assigned 08/13/2012
33bProvider typeClinic/Center
28Total paid$7.21M
24GClaims202,085
24DCodes billed59
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinic/Center providers in California
Rank by total paid#73 of 504
Median peer was paid$102K
This provider vs. median71×
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 | 31,071 | $844K | |
| 2019 | 24,700 | $772K | |
| 2020 | 27,604 | $1.25M | |
| 2021 | 31,589 | $1.40M | |
| 2022 | 37,992 | $1.67M | |
| 2023 | 32,549 | $868K | |
| 2024incomplete | 16,580 | $410K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99051 | 21% | 20,029 | 18,452 | $1.49M | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 16% | 13,143 | 8,440 | $1.15M |
| 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 | 10% | 20,039 | 18,262 | $729K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.8% | 5,215 | 5,192 | $490K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.6% | 14,416 | 12,855 | $477K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.4% | 5,450 | 5,239 | $462K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.8% | 4,128 | 3,801 | $349K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.2% | 2,751 | 2,737 | $302K |
| D1206 | Topical application of fluoride varnish | 3.5% | 11,425 | 10,933 | $253K |
| 96156 | 2.5% | 1,770 | 1,433 | $183K | |
| 92551 | 1.9% | 9,997 | 9,888 | $137K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 8,916 | 8,552 | $115K |
47 more codes
| 90686 | 1.4% | 9,209 | $103K | |
| 96150 | 1.3% | 4,115 | $91K | |
| G9920 | Screening performed and negative | <1% | 3,443 | $61K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,384 | $60K |
| 99188 | <1% | 2,191 | $48K | |
| 99173 | <1% | 10,740 | $47K | |
| 90677 | <1% | 401 | $42K | |
| 99381 | <1% | 364 | $41K | |
| 90700 | <1% | 3,683 | $41K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 319 | $39K |
| 90670 | <1% | 3,157 | $39K | |
| 85018 | <1% | 14,772 | $38K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 443 | $35K |
| 90713 | <1% | 2,846 | $32K | |
| 90647 | <1% | 2,752 | $31K | |
| 90680 | <1% | 2,431 | $28K | |
| 90651 | <1% | 2,215 | $26K | |
| 97802 | <1% | 863 | $26K | |
| H0049 | Alcohol and/or drug screening | <1% | 814 | $24K |
| 83655 | <1% | 1,666 | $22K | |
| 90633 | <1% | 1,888 | $21K | |
| 90716 | <1% | 1,716 | $19K | |
| 90707 | <1% | 1,646 | $19K | |
| 90744 | <1% | 1,495 | $17K | |
| 99383 | <1% | 108 | $16K | |
| 90734 | <1% | 832 | $12K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,914 | $11K |
| 36415 | Collection of venous blood by venipuncture | <1% | 469 | $10K |
| 96127 | <1% | 1,434 | $8K | |
| 99384 | <1% | 45 | $7K | |
| 90723 | <1% | 550 | $7K | |
| 99382 | <1% | 48 | $7K | |
| 87430 | <1% | 532 | $7K | |
| 96160 | <1% | 1,194 | $6K | |
| 90688 | <1% | 438 | $5K | |
| 90620 | <1% | 363 | $4K | |
| 90656 | <1% | 354 | $4K | |
| 86580 | <1% | 876 | $4K | |
| 90715 | <1% | 312 | $3K | |
| 90685 | <1% | 214 | $3K | |
| 90687 | <1% | 143 | $2K | |
| 87400 | <1% | 252 | $2K | |
| 94664 | <1% | 64 | $736.31 | |
| 90696 | <1% | 27 | $298.89 | |
| 87420 | <1% | 41 | $270.81 | |
| 81001 | <1% | 28 | $87.36 | |
| 99221 | 0% | 15 | $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 officialKAPLAN, JEFFREY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Essex Podiatry Associates | Livingston, NJ | $13K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.