Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 6 | 469 | 888 | $108,599 | $47,918 |
| 2022 | 10 | 584 | 994 | $186,137 | $72,483 |
| 2021 | 10 | 631 | 1,052 | $187,251 | $76,822 |
| 2020 | 9 | 590 | 1,003 | $164,133 | $68,973 |
All Medicare Procedures & Services
35 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Facility | 2023 | 133 | 282 | $39,480 | $17,476 | 44.3% |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | Facility | 2023 | 158 | 425 | $32,300 | $16,365 | 50.7% |
| 99239 | Hospital discharge day management, more than 30 minutes | Facility | 2023 | 59 | 61 | $12,566 | $5,464 | 43.5% |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | Facility | 2023 | 64 | 64 | $12,544 | $4,081 | 32.5% |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Facility | 2023 | 30 | 31 | $8,184 | $2,952 | 36.1% |
| 99238 | Hospital discharge day management, 30 minutes or less | Facility | 2023 | 25 | 25 | $3,525 | $1,580 | 44.8% |
| 99233 | Follow-up hospital inpatient care per day, typically 35 minutes | Facility | 2022 | 147 | 309 | $61,114 | $24,018 | 39.3% |
| 99232 | Follow-up hospital inpatient care per day, typically 25 minutes | Facility | 2022 | 144 | 363 | $50,400 | $19,822 | 39.3% |
| 99223 | Initial hospital inpatient care per day, typically 70 minutes | Facility | 2022 | 65 | 67 | $25,720 | $9,495 | 36.9% |
| 99222 | Initial hospital inpatient care per day, typically 50 minutes | Facility | 2022 | 63 | 63 | $16,515 | $6,372 | 38.6% |
| 99239 | Hospital discharge day management, more than 30 minutes | Facility | 2022 | 71 | 73 | $14,905 | $5,945 | 39.9% |
| 99219 | Initial hospital observation care per day, typically 50 minutes | Facility | 2022 | 21 | 21 | $5,430 | $2,071 | 38.1% |
| 99238 | Hospital discharge day management, 30 minutes or less | Facility | 2022 | 32 | 32 | $4,458 | $1,809 | 40.6% |
| 99231 | Follow-up hospital inpatient care per day, typically 15 minutes | Facility | 2022 | 17 | 37 | $2,806 | $1,117 | 39.8% |
| 99226 | Follow-up observation care per day, typically 35 minutes | Facility | 2022 | 11 | 13 | $2,568 | $1,032 | 40.2% |
| 99225 | Follow-up observation care per day, typically 25 minutes | Facility | 2022 | 13 | 16 | $2,221 | $802.59 | 36.1% |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | Facility | 2021 | 144 | 334 | $64,462 | $26,272 | 40.8% |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | Facility | 2021 | 156 | 375 | $50,625 | $20,829 | 41.1% |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | Facility | 2021 | 64 | 67 | $17,085 | $6,841 | 40.0% |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | Facility | 2021 | 40 | 40 | $15,040 | $6,328 | 42.1% |
| 99239 | Hospital discharge day management, more than 30 minutes | Facility | 2021 | 49 | 50 | $9,950 | $4,115 | 41.4% |
| 99238 | Hospital discharge day management, 30 minutes or less | Facility | 2021 | 65 | 65 | $8,775 | $3,630 | 41.4% |
| 99219 | Hospital observation care, typically 50 minutes | Facility | 2021 | 30 | 30 | $7,500 | $3,182 | 42.4% |
| 99217 | Hospital observation care on day of discharge | Facility | 2021 | 37 | 37 | $4,995 | $2,051 | 41.1% |
| 99226 | Subsequent observation care, typically 35 minutes per day | Facility | 2021 | 22 | 25 | $4,875 | $2,040 | 41.9% |
About Dr. Robert Kaplan, MD
Dr. Robert Kaplan, MD is a Pulmonary Disease healthcare provider based in Syracuse, New York. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 07/10/2006. The National Provider Identifier (NPI) number assigned to this provider is 1336173012.
As a Medicare-enrolled provider, Kaplan has provided services to 2,274 Medicare beneficiaries, totaling 3,937 services with total Medicare billing of $266,195. Data is available for 4 years (2020–2023), covering 35 distinct procedure/service records.
Practice Information
- Specialty Pulmonary Disease
- Location Syracuse, NY
- Active Since 07/10/2006
- Last Updated 01/27/2010
- Taxonomy Code 207RP1001X
- Entity Type Individual
- NPI Number 1336173012
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Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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