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PROVIDER PROFILE · NPI 1295734044

Philip KaplanDO

Pulmonary DiseaseNovi, MII
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 230130
Hospital
CCN 230151
Hospital
CCN 230269
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
233
Beneficiaries
—
Total drug cost
$88K
Distinct drugs
10
Brand share
60.9%
Top prescribed drugs
Fluticasone/Umeclidin/Vilanter59 claims
Azithromycin34 claims
Prednisone29 claims
Albuterol Sulfate21 claims
Budesonide/Glycopyr/Formoterol20 claims
QUALITY · MIPS · 2024
Final MIPS score
98.7
Quality
92.6
Cost
74.4
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
1.00%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$791
Payment records
32
By payment type
Food and Beverage$791
REFERRAL NETWORK

Where Philip Kaplan'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). 82 inbound referrers · 160 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
BOTSFORD GENERAL HOSPITAL5253,071
Timothy Mcknight
Diagnostic Radiology · Farmington Hills, MI
194731
Elias Antypas
Diagnostic Radiology · Farmington Hills, MI
176621
VANDER ROEST, WILFRED158965
Kathy Borovicka
Diagnostic Radiology · Ann Arbor, MI
156580
ZUCKERMAN, STEVEN142525
Michael Schwartz
Diagnostic Radiology · Birmingham, MI
142441
Biotech Clinical Laboratories Inc
Clinical Laboratory · Novi, MI
116607
Kathryn Heal
Internal Medicine · Novi, MI
105354
ASCENSION PROVIDENCE HOSPITAL96411
Majid Qazi
Cardiology · Farmington Hills, MI
95448
Mark Marrone
Nephrology · Livonia, MI
81194
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
BOTSFORD GENERAL HOSPITAL3713,029
VANDER ROEST, WILFRED1891,211
Timothy Mcknight
Diagnostic Radiology · Farmington Hills, MI
176653
NPI 1750361549167363
COMMUNITY EMERGENCY MEDICAL SERVICE INC143346
Andrew Mizzi
Diagnostic Radiology · Farmington Hills, MI
132417
Kristin Kamienecki
Diagnostic Radiology · Farmington Hills, MI
131387
Rocky Saenz
Diagnostic Radiology · Farmington Hills, MI
131824
JASSENOFF, SAMUEL128398
Elias Antypas
Diagnostic Radiology · Farmington Hills, MI
123346
Kathy Borovicka
Diagnostic Radiology · Ann Arbor, MI
121332
Michael Schwartz
Diagnostic Radiology · Birmingham, MI
105321
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
884
Unique beneficiaries
—
Total services
1,261
Distinct HCPCS
16
Medicare payment
$130K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 371 Pulmonary Disease providers in MI — top quintile (cohort median 658).