Kaplan, Carl

Kaplan, Carl was paid $25K by Medicaid between Jan 2022 and Apr 2023, across 2 billing codes. Its largest line is 99283, emergency room visit (moderate) — 97% of everything it billed.

33Billing provider infoKAPLAN, CARL
STONY BROOK, NY 11794

33aNPI1962515825assigned 08/16/2006

33bProvider typePediatrics Physician

28Total paid$25K

24GClaims273

24DCodes billed2

24AFirst – last monthJan 2022 – Apr 2023

Compared with peers

Next to other Pediatrics Physician providers in New York

Rank by total paid#935 of 1,983

Median peer was paid$17K

This provider vs. median1.5×

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
2022	219	$20K
2023	54	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	97%	261	261	$25K
99282	Emergency department visit for the evaluation and management, low to moderate severity	2.7%	12	12	$685.08

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.