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PROVIDER PROFILE · NPI 1225034549

Michael CaplanMD

PRACTICECAPLAN-BERKELEY, LLPSee all providers at this practice →
OphthalmologyHouston, TXI
CROSS-REFERENCE

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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 450330
Hospital
REFERRAL NETWORK

Where Michael Caplan's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 13 inbound referrers · 19 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Caplan-Berkeley, Llp
Ambulatory Surgical Center · Houston, TX
202501
MID COAST MEDICAL CENTER - TRINITY70239
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Houston, TX
61141
EL CAMPO MEMORIAL HOSPITAL37117
HALL, GEORGE2840
Roosevelt Gloyd
Optometry · Houston, TX
2039
Clinical Pathology Laboratories, Inc.
Clinical Laboratory · Austin, TX
1530
UNIVERSITY OF TEXAS M. D. ANDERSON CANCER CENTER1525
DUQUE, CARLOS1363
David Garza
Optometry · Houston, TX
1320
COCHRAN, RONALD1224
George Hanna
Cardiology · Bay City, TX
1119
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Denice Espinosa
Certified Registered Nurse Anesthetist (CRNA) · Houston, TX
210758
Caplan-Berkeley, Llp
Ambulatory Surgical Center · Houston, TX
164350
MID COAST MEDICAL CENTER - TRINITY59103
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Houston, TX
4677
Laboratory Corporation Of America
Clinical Laboratory · Houston, TX
4473
EL CAMPO MEMORIAL HOSPITAL3176
MEMORIAL HERMANN HEALTH SYSTEM2327
Christopher Fuller
Ophthalmology · Lubbock, TX
2036
Karl Ermis
Optometry · El Campo, TX
1926
Medical Clinic Of Houston, Llp
Clinical Laboratory · Houston, TX
1722
WISSINGER, JOHN1759
THE METHODIST HOSPITAL1629
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,029
Unique beneficiaries
—
Total services
1,569
Distinct HCPCS
10
Medicare payment
$210K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,238 Ophthalmology providers in TX — below median (cohort median 1,864).
PRESCRIBING · PART D · 2024
Total Rx claims
3,859
Beneficiaries
—
Total drug cost
$214K
Distinct drugs
20
Brand share
11.2%
Top prescribed drugs
Prednisolone Acetate1,015 claims
Ciprofloxacin Hcl807 claims
Ketorolac Tromethamine631 claims
Latanoprost444 claims
Bromfenac Sodium297 claims
QUALITY · MIPS · 2024
Final MIPS score
89.8
Quality
81.5
Cost
76.2
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.62%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$661
Payment records
14
By payment type
Food and Beverage$661