Physician

Marc A Kaplan, DO

According to 2025 Medicare claims, Marc Kaplan, DO (NPI: 1619918836) practices family practice in the Sierra Vista-Douglas, AZ market, with the plurality of this provider's patient population coming from Cochise, AZ. This provider's primary affiliated billing organization is MARC A KAPLAN PLLC (NPI: 1699796631; TIN: 202358008) and primary practice location at 85635-2822. Kaplan is affiliated with the ABC Network (ACO ID: A5554), participating under the MSSP model.

Kaplan's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 552 traditional Medicare patients, billed 3,124 HCPCS/CPT codes, and received $141,399 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 9,239 prescription claims across 681 beneficiaries totaling $580,152 in drug costs, led by Trulicity (Dulaglutide). DME data shows 1,010 claims. Open Payments data shows 1 records totaling $18. 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 changed little. Concurrently, Part D prescription costs have risen steadily, from $377,629 to $580,152. For DME billing, reported payments moved sharply higher in recent years, from $54,983 to $76,555.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	631	5,675	$222,503
2016	655	4,996	$205,347
2017	711	4,965	$188,679
2018	687	4,548	$172,200
2019	630	4,397	$160,351
2020	621	3,858	$149,588
2021	812	4,652	$209,267
2022	638	3,831	$179,155
2023	687	4,300	$203,781
2024	552	3,124	$141,399

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	416	6,713	$377,629
2016	435	7,269	$438,609
2017	458	7,033	$418,443
2018	455	6,638	$478,433
2019	482	6,384	$433,828
2020	473	7,004	$475,440
2021	530	7,053	$454,696
2022	563	6,778	$462,214
2023	637	7,950	$652,201
2024	681	9,239	$580,152

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	119	659	$35,654
2016	114	703	$26,697
2017	137	787	$22,250
2018	172	771	$21,419
2019	171	620	$18,073
2020	171	708	$40,484
2021	180	679	$42,177
2022	142	728	$44,830
2023	229	996	$65,918
2024	219	1,010	$67,841

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

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	158	158	$122
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	279	492	$74
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	303	531	$50
G0008	Administration of influenza virus vaccine	137	139	$31
G0444	Annual depression screening, 5 to 15 minutes	138	138	$18

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Trulicity	Dulaglutide	71	2,632	$83,206
Ozempic	Semaglutide	38	1,766	$55,955
Eliquis	Apixaban	51	2,681	$50,637
Xarelto	Rivaroxaban	40	2,041	$37,592
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	28	1,530	$31,200

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	11	39	$19,859
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	24	181	$12,430
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	Y	N/R	11	$11,232
A7031	Face mask interface, replacement for full face mask, each	N	24	65	$5,152
A7030	Full face mask used with positive airway pressure device, each	N	24	62	$4,675

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$18	Regeneron Healthcare Solutions, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Marc A. Kaplan, DO?

Tedicare shows public-source Medicare data for Marc A. Kaplan, DO (NPI 1619918836), 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 Marc A. Kaplan, DO have ACO affiliation data?

Marc A. Kaplan, DO is shown with ACO affiliation data for ABC Network (MSSP, ACO ID A5554).

What billing organization is linked to Marc A. Kaplan, DO?

Marc A. Kaplan, DO is linked to MARC A KAPLAN PLLC (billing NPI 1699796631) in the available physician profile data.

Does Marc A. Kaplan, DO have Open Payments data?

Marc A. Kaplan, DO has 1 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.