PHILIP KAPLAN, DO
Pulmonary Disease Physician · NOVI, MI
Individual Active NPI 1295734044
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 455 | 1,369 | $324,298 | $178,690 | $139,671 |
| 2023 | 379 | 1,256 | $272,826 | $148,251 | $113,572 |
| 2022 | 397 | 1,186 | $259,099 | $141,390 | $110,003 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 373 | $220 | $174 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 146 | $81 | $65 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 103 | $121 | $97 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 103 | $177 | $134 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 89 | $131 | $97 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 67 | $23 | $18 |
| 94726 | Test to determine lung volumes using sensors | 64 | $30 | $23 |
| 94729 | Test to examine how well the lungs exchange gases | 64 | $28 | $22 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 54 | $93 | $72 |
| 94618 | Test for exercise-induced lung stress | 44 | $31 | $25 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 29 | $186 | $149 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 26 | $173 | $133 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 5101010587 | MI |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 5101010587 | MI |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Pulmonary Disease Physician providers in Michigan
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- NPI 1043627524
- NPI 1851779797
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.