ROBERT KAPLAN, MD
Family Medicine Physician · CHICAGO, IL
Individual Active NPI 1073561460
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 201 | 2,611 | $876,570 | $649,907 | $516,804 |
| 2023 | 207 | 1,732 | $340,304 | $160,690 | $127,294 |
| 2022 | 252 | 1,653 | $272,232 | $136,630 | $107,999 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 486 | $131 | $103 |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a | 241 | $43 | $33 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 213 | $78 | $56 |
| 99458 | Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 161 | $41 | $32 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 148 | $50 | $39 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 130 | $55 | $43 |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 116 | $132 | $105 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 102 | $50 | $39 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 100 | $65 | $51 |
| 99489 | Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month | 95 | $74 | $59 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 85 | $93 | $73 |
| 99487 | Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month | 74 | $138 | $110 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | 036062817 | IL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.