ANDREA KAPLAN, MD
Adult Medicine Physician · GREENVALE, NY
Individual Active NPI 1790872273
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 315 | 970 | $295,579 | $104,158 | $88,803 |
| 2023 | 306 | 1,137 | $306,179 | $108,555 | $92,171 |
| 2022 | 296 | 1,159 | $310,427 | $110,901 | $94,892 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 202 | $149 | $110 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 191 | $153 | $153 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 117 | $106 | $72 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 77 | $17 | $12 |
| G0008 | Administration of influenza virus vaccine | 51 | $37 | $37 |
| 90653 | Influenza vaccine, inactivated | 48 | $80 | $80 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 33 | $194 | $194 |
| 90732 | Pneumococcal vaccine, 23-valent | 27 | $126 | $126 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 26 | $197 | $140 |
| 36415 | Insertion of needle into vein for collection of blood sample | 25 | $9 | $9 |
| G0009 | Administration of pneumococcal vaccine | 25 | $37 | $37 |
| 81002 | Urinalysis, manual test | 13 | $3 | $3 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | ✓ | 200525 | NY |
| Family Medicine Physician | 207Q00000X | 200525 | NY |
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.