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Pulmonary Disease • Novi, MI 48375 • NPI #1295734044

Dr. Philip Kaplan, DO

Pulmonary & Cortical Care Specialists, Pc, 39650 Orchard Hill Place, Ste 100, Novi, MI 48375 • +1-301-555-1565

Medical Education: Accredited U.S. Medical School (Class of 2010)

46 Active CMS HCPCS Codes
4.74/5
Waiting-Room Score
21 patient logs
$209.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & Novi Percentiles

NPI #1295734044 • CBSA Regional • Pulmonary Disease

Dr. Philip Kaplan DotMD Verification Badge

CMS Medicare Part B utilization records credit Dr. Philip Kaplan (DO, NPI 1295734044) at Pulmonary & Cortical Care Specialists, Pc, 39650 Orchard Hill Place, Ste 100 in Novi with 1,369 annual clinical services (455 beneficiaries), corresponding to a -0.22σ regional deviation and focused low-volume boutique caseload (25th Novi percentile) with sub-specialty concentration in 46 Active CMS HCPCS Codes.

Procedural volume for Dr. Kaplan is led by HCPCS 99214 (Established Pulmonary, Asthma & COPD Management — 561 annual services, $203–$278 GPCI cash estimate), followed by CPT 94060 (Pre- & Post-Bronchodilator Spirometry Airflow Evaluation, 315/yr) and CPT 94729 (Alveolar Carbon Monoxide Diffusing Capacity (DLCO), 233/yr).

Cash-pay intake data for NPI 1295734044 (Pulmonary & Cortical Care Specialists, Pc, 39650 Orchard Hill Place, Ste 100, Novi) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 13-minute average reception wait and 4.43/5 biomarker openness.

From Pulmonary & Cortical Care Specialists, Pc, 39650 Orchard Hill Place, Ste 100 in Novi (+1-301-555-1565), Dr. Kaplan, DO (16-year clinical track record) delivers 46 Active CMS HCPCS Codes care.

Novi Percentile 25.00th

Compared against Novi, MI Pulmonary Disease peers

MI State Percentile 52.41th

1,369 annual services across 455 beneficiaries

Regional Volume Z-Score -0.216σ

Standard deviations from MI Pulmonary Disease mean utilization

Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks

HCPCS Clinical Procedure Description Annual Volume Local Pct Est. Cash Range
99214 Established Pulmonary, Asthma & COPD Management 561 25th $203 – $278
94060 Pre- & Post-Bronchodilator Spirometry Airflow Evaluation 315 28th $132 – $181
94729 Alveolar Carbon Monoxide Diffusing Capacity (DLCO) 233 26th $120 – $164
95810 Attended Sleep Apnea Polysomnography Interpretation 151 22th $370 – $507
99204 Comprehensive New Patient Respiratory & Sleep Workup 110 26th $285 – $391
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Dr. Philip Kaplan, DO Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Kaplan National Provider Identifier NPI #1295734044 (DO) CMS NPPES Registry (48375)
Dr. Kaplan Novi CMS Volume Rank 25.00th Pct (1,369 CMS svcs; Z -0.216σ) CMS Medicare Part B (MI Pulmonary Disease)
Fair Cash-Pay New-Patient Benchmark $209.00 (CPT 99204 GPCI Benchmark) CMS Geographic Practice Cost Index (Novi, MI)
Waiting-Room Wait Time & Cash Friendliness $209.00 avg paid • 13 min lobby wait 21 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.57/5 Listening • 4.43/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
13 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $209.00
Listens Without Rushing
4.57/5
Patient communication rating
Modern Protocol Openness
4.43/5
Preventive labs, GLP-1s & HRT
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