Physician

Albert Anthony Kaplan, D.P.M

According to 2025 Medicare claims, Albert Kaplan, D.P.M (NPI: 1558371203) practices podiatry in the Orlando-Kissimmee-Sanford, FL market, with the plurality of this provider's patient population coming from Orange, FL. This provider's primary affiliated billing organization is FAMILY PODIATRY OF CENTRAL FLORIDA PA (NPI: 1578741054; TIN: 261637698) and primary practice location at 32792-2500. Kaplan is affiliated with the Sound Physicians Long Term Care Managment II (ACO ID: A5538), participating under the MSSP model.

Kaplan's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,316 traditional Medicare patients, billed 3,111 HCPCS/CPT codes, and received $174,872 in Medicare payments. The top billing code was 99213 (Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more). Part D data shows 201 prescription claims across 142 beneficiaries totaling $13,287 in drug costs, led by Clotrimazole-Betamethasone (Clotrimazole/Betamethasone Dip). 2019 DME data shows 11 claims. Open Payments data shows 7 records totaling $372. 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 $202,076 and ending at $174,872. Concurrently, Part D prescription costs have risen steadily, from $991 to $13,287. 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$142K$284K2015 Medicare payment: $202,076 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $283,536 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $155,452 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $151,841 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $203,582 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $149,606 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $169,672 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $134,707 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $144,740 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $174,872 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,4214,188$202,076
20162,1456,487$283,536
20171,3373,805$155,452
20181,4273,352$151,841
20191,3434,085$203,582
20201,1713,190$149,606
20211,2453,167$169,672
20221,1282,513$134,707
20231,0802,497$144,740
20241,3163,111$174,872

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$6.6K$13K2015 Drug cost: $991 (USD; Tot_Drug_Cst)2016 Drug cost: $4,608 (USD; Tot_Drug_Cst)2017 Drug cost: $1,174 (USD; Tot_Drug_Cst)2018 Drug cost: $4,786 (USD; Tot_Drug_Cst)2019 Drug cost: $2,022 (USD; Tot_Drug_Cst)2020 Drug cost: $2,781 (USD; Tot_Drug_Cst)2021 Drug cost: $3,067 (USD; Tot_Drug_Cst)2022 Drug cost: $10,135 (USD; Tot_Drug_Cst)2023 Drug cost: $6,185 (USD; Tot_Drug_Cst)2024 Drug cost: $13,287 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152250$991
20163050$4,608
20172737$1,174
20182546$4,786
20193043$2,022
20202248$2,781
20213146$3,067
20224673$10,135
202375124$6,185
2024142201$13,287

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$2.5K$4.9K2015 Medicare payment: $1,438 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $4,911 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $1,148 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
20151313$1,438
2016N/RN/RN/R
20174040$4,911
2018N/RN/RN/R
20191111$1,148
2020N/RN/RN/R
2021N/RN/RN/R
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
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more127349$63
99304Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes408408$61
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more5701,293$56
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes199400$56
11721Removal of fingernails or toenails, 6 or more nails291378$34

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip43867$1,760
Ammonium LactateAmmonium Lactate581,498$1,637
MupirocinMupirocin25386$394
Doxycycline HyclateDoxycycline Hyclate14106$223
Triamcinolone AcetonideTriamcinolone Acetonide13166$135

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.7$372ETS Wound Care LLC
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 Albert Anthony Kaplan, D.P.M?

Tedicare shows public-source Medicare data for Albert Anthony Kaplan, D.P.M (NPI 1558371203), 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 Albert Anthony Kaplan, D.P.M have ACO affiliation data?

Albert Anthony Kaplan, D.P.M is shown with ACO affiliation data for Sound Physicians Long Term Care Managment II (MSSP, ACO ID A5538).

What billing organization is linked to Albert Anthony Kaplan, D.P.M?

Albert Anthony Kaplan, D.P.M is linked to FAMILY PODIATRY OF CENTRAL FLORIDA PA (billing NPI 1578741054) in the available physician profile data.

Does Albert Anthony Kaplan, D.P.M have Open Payments data?

Albert Anthony Kaplan, D.P.M has 7 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.