PROVIDER PROFILE · NPI 1811943574

Paul KaplanDO

PathologyAnchorage, AKI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

2,809

Unique beneficiaries

—

Total services

4,883

Distinct HCPCS

Medicare payment

$149K

Peer benchmark

Total Medicare services vs. 15 Pathology providers in AK — top quintile (cohort median 2,269).

PRESCRIBING · PART D · 2024

No data available for this provider in 2024.

QUALITY · MIPS · 2024

Final MIPS score

94.3

Quality

92.6

Cost

0.0

Improvement activities

40.0

Promoting interop.

93.2

Payment adjustment

0.81%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where Paul 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). 68 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
MEMORIAL HEALTH CARE SYSTEM INC.	693	1,085
MEMORIAL HEALTH CARE SYSTEM INC.	165	194
George Watson Diagnostic Radiology · Chattanooga, TN	75	107
Chattanooga Endoscopy Asc Llc Ambulatory Surgical Center · Chattanooga, TN	74	74
COLLINS, DAVID	73	139
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	63	85
RIMER, THOMAS	57	75
Munford Yates Gastroenterology · Chattanooga, TN	57	133
Mark Tusa Dermatology · Temple, TX	56	86
Kilton Kingsman Diagnostic Radiology · Chattanooga, TN	56	83
MILLS, ROBERT	54	62
James Marcum Cardiology · Cleveland, TN	52	55

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history