Physician
OIG excluded
Kaplan, Paul
Kaplan, Paul was paid $23K by Medicaid between Jan 2019 and Oct 2019, across 1 billing code. Its largest line is 99215, doctor's office visit, returning patient (complex) — 100% of everything it billed.
33Billing provider infoKAPLAN, PAUL
CARMICHAEL, CA 95608
CARMICHAEL, CA 95608
33aNPI1932272317assigned 11/16/2006
33bProvider typeNeuromusculoskeletal Medicine & OMM Physician
28Total paid$23K
24GClaims1,016
24DCodes billed1
24AFirst – last monthJan 2019 – Oct 2019
Compared with peers
Next to other Neuromusculoskeletal Medicine & OMM Physician providers in California
Rank by total paid#7 of 12
Median peer was paid$23K
This provider vs. median1.0×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
OIG exclusionListed on the federal exclusion list (11/19/2020).
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 | |
|---|---|---|---|
| 2019 | 1,016 | $23K |
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 | 100% | 1,016 | 920 | $23K |
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.