MICHAEL KAPLAN, MD
Sports Medicine (Orthopaedic Surgery) Physician · MIDDLEBURY, CT
Individual Active NPI 1124047196
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 349 | 6,778 | $677,796 | $152,800 | $117,578 |
| 2023 | 302 | 4,434 | $546,264 | $118,229 | $91,826 |
| 2022 | 329 | 4,485 | $583,065 | $134,791 | $103,428 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J7318 | Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg | 2,101 | $6 | $5 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,984 | $1 | $1 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 1,036 | $0 | $0 |
| 73560 | X-ray of knee, 1-2 views | 326 | $35 | $26 |
| 20610 | Aspiration and/or injection of fluid from large joint | 309 | $70 | $53 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 279 | $95 | $72 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 116 | $117 | $84 |
| 73030 | X-ray of shoulder, minimum of 2 views | 59 | $36 | $25 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 41 | $58 | $44 |
| 27447 | Replacement of knee joint, both sides of knee | 26 | $1,343 | $1,070 |
| 29880 | Removal of both knee cartilages using an endoscope | 11 | $599 | $460 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | ✓ | 034194 | CT |
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.