Physician

Abe P. Kaplan, MD

According to 2025 Medicare claims, Abe Kaplan, MD (NPI: 1407843816) practices ophthalmology in the Elgin, IL market, with the plurality of this provider's patient population coming from De Kalb, IL. This provider's primary affiliated billing organization is DEKALB EYE CONSULTANTS, LLC (NPI: 1326380510; TIN: 237087041) and primary practice location at 60178-3103. Kaplan is affiliated with the Advocate Physician Partners Accountable Care, Inc. (ACO ID: A1033), participating under the MSSP model.

Kaplan's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 445 traditional Medicare patients, billed 1,602 HCPCS/CPT codes, and received $163,115 in Medicare payments. The top billing code was 66984 (Removal of cataract with insertion of prosthetic lens). Part D data shows 1,938 prescription claims across 472 beneficiaries totaling $93,913 in drug costs, led by Restasis (Cyclosporine). Open Payments data shows 3 records totaling $62. 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 has moved up and down with repeated peaks and valleys, starting at $158,575 and ending at $163,115. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $59,743 and ending at $93,913. 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$141K$283K2015 Medicare payment: $158,575 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $203,414 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $198,776 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $252,649 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $282,868 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $40,202 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $139,549 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $169,381 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $154,303 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $163,115 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20154861,804$158,575
20166562,533$203,414
20176952,591$198,776
20188463,316$252,649
20199403,347$282,868
2020292664$40,202
20213511,624$139,549
20224202,055$169,381
20234411,709$154,303
20244451,602$163,115

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$60K$120K2015 Drug cost: $59,743 (USD; Tot_Drug_Cst)2016 Drug cost: $96,022 (USD; Tot_Drug_Cst)2017 Drug cost: $117,305 (USD; Tot_Drug_Cst)2018 Drug cost: $110,923 (USD; Tot_Drug_Cst)2019 Drug cost: $119,819 (USD; Tot_Drug_Cst)2020 Drug cost: $110,419 (USD; Tot_Drug_Cst)2021 Drug cost: $60,834 (USD; Tot_Drug_Cst)2022 Drug cost: $93,825 (USD; Tot_Drug_Cst)2023 Drug cost: $90,323 (USD; Tot_Drug_Cst)2024 Drug cost: $93,913 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015175717$59,743
20162451,043$96,022
20172761,186$117,305
20182871,260$110,923
20193151,280$119,819
2020200935$110,419
2021266798$60,834
20223961,540$93,825
20234651,728$90,323
20244721,938$93,913

DME Billing Trend

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

No connected DME records

No connected DME records

* / # = 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
66984Removal of cataract with insertion of prosthetic lens99168$387
92014Established patient complete exam of visual system229244$80
92004New patient complete exam of visual system121121$80
92012Established patient problem focused exam of visual system144260$57
92136Measurement of corneal curvature and depth of eye120295$16

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
RestasisCyclosporine321,635$34,466
Prednisolone AcetatePrednisolone Acetate45510,055$11,048
CyclosporineCyclosporine20780$4,724
Ketorolac TromethamineKetorolac Tromethamine3138,099$3,985
Brimonidine Tartrate-TimololBrimonidine Tartrate/Timolol18650$3,180

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.3$62Amgen 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 Abe P. Kaplan, MD?

Tedicare shows public-source Medicare data for Abe P. Kaplan, MD (NPI 1407843816), 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 Abe P. Kaplan, MD have ACO affiliation data?

Abe P. Kaplan, MD is shown with ACO affiliation data for Advocate Physician Partners Accountable Care, Inc. (MSSP, ACO ID A1033).

What billing organization is linked to Abe P. Kaplan, MD?

Abe P. Kaplan, MD is linked to DEKALB EYE CONSULTANTS, LLC (billing NPI 1326380510) in the available physician profile data.

Does Abe P. Kaplan, MD have Open Payments data?

Abe P. Kaplan, MD has 3 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.