Physician

John L Caplan, MD

According to 2025 Medicare claims, John Caplan, MD (NPI: 1386622769) practices cardiac electrophysiology in the Trenton-Princeton, NJ market, with the plurality of this provider's patient population coming from Mercer, NJ. This provider's primary affiliated billing organization is HAMILTON CARDIOLOGY ASSOCIATES, PA (NPI: 1326026378; TIN: 223052989) and primary practice location at 08690-0456.

Caplan's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,474 traditional Medicare patients, billed 6,134 HCPCS/CPT codes, and received $462,505 in Medicare payments. The top billing code was 93241 (Heart rhythm recording, analysis, report, review, and interpretation of continous external ekg over more than 48 hours up to 7 days). Part D data shows 4,900 prescription claims across 665 beneficiaries totaling $1,401,026 in drug costs, led by Eliquis (Apixaban). 2021 DME data shows 12 claims. Open Payments data shows 37 records totaling $969. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have risen steadily, from $617,514 to $1,401,026. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$308K$616K2015 Medicare payment: $616,263 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $525,216 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $399,781 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $450,664 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $390,111 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $322,763 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $391,292 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $452,961 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $480,476 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $462,505 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20153,25211,942$616,263
20162,72511,050$525,216
20172,2118,747$399,781
20182,21710,115$450,664
20192,2178,405$390,111
20201,8596,319$322,763
20211,5836,823$391,292
20221,6857,746$452,961
20231,5126,675$480,476
20241,4746,134$462,505

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$701K$1.4M2015 Drug cost: $617,514 (USD; Tot_Drug_Cst)2016 Drug cost: $793,865 (USD; Tot_Drug_Cst)2017 Drug cost: $917,253 (USD; Tot_Drug_Cst)2018 Drug cost: $1,043,198 (USD; Tot_Drug_Cst)2019 Drug cost: $1,170,041 (USD; Tot_Drug_Cst)2020 Drug cost: $1,239,242 (USD; Tot_Drug_Cst)2021 Drug cost: $1,245,164 (USD; Tot_Drug_Cst)2022 Drug cost: $1,295,328 (USD; Tot_Drug_Cst)2023 Drug cost: $1,282,771 (USD; Tot_Drug_Cst)2024 Drug cost: $1,401,026 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20156224,103$617,514
20167154,929$793,865
20177455,457$917,253
20187756,047$1,043,198
20197406,068$1,170,041
20207045,499$1,239,242
20216535,004$1,245,164
20226864,974$1,295,328
20236494,586$1,282,771
20246654,900$1,401,026

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$14K$29K2018 Medicare payment: $28,744 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $25,210 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/R16$28,744
2019N/RN/RN/R
2020N/RN/RN/R
2021N/R12$25,210
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
93241Heart rhythm recording, analysis, report, review, and interpretation of continous external ekg over more than 48 hours up to 7 days439444$211
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more453865$97
93296Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days271386$16
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's459874$13
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report376630$11

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban41228,091$524,969
XareltoRivaroxaban20113,050$235,946
EntrestoSacubitril/Valsartan1599,560$208,033
MultaqDronedarone Hcl1137,860$199,020
JardianceEmpagliflozin181,500$29,564

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.37$969Kestra Medical Technology Services, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for John L. Caplan, MD?

Tedicare shows public-source Medicare data for John L. Caplan, MD (NPI 1386622769), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does John L. Caplan, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to John L. Caplan, MD?

John L. Caplan, MD is linked to HAMILTON CARDIOLOGY ASSOCIATES, PA (billing NPI 1326026378) in the available physician profile data.

Does John L. Caplan, MD have Open Payments data?

John L. Caplan, MD has 37 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.