Dr. Steven Kaplan, MD
1575 N Rivercenter DR, Suite 160, Milwaukee, WI 53212 • +1-521-555-5813
Medical Education: Accredited U.S. Medical School (Class of 2010)
What This Doctor Actually Performs: CMS Medicare Utilization & Milwaukee Percentiles
NPI #1922085075 • CBSA Regional • Orthopedic Surgery
Operating out of Milwaukee, WI (1575 N Rivercenter DR, Suite 160), Orthopedic Surgery clinician Dr. Steven Kaplan, MD (accredited MD/DO training, 2010) maintains a focused low-volume boutique caseload (5.26th Milwaukee percentile) (3.38th WI percentile; Z-score -0.80σ across 667 documented services) with sub-specialty concentration in 38 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1922085075 highlights 95 annual claims for 99213 (12th Milwaukee percentile; $111–$151 self-pay corridor) plus 71 encounters under 20610 and 50 under 73562.
Direct cash-pay transparency modeling sets Dr. Kaplan's baseline new-consult rate near $209.00 in Milwaukee, WI (cash-pay accepted, in-person clinic visits only, 13-minute average reception wait).
NPI registry verification (#1922085075) confirms Dr. Steven Kaplan's MD standing serving CBSA 53212 with a 4.60/5 patient scorecard.
Compared against Milwaukee, WI Orthopedic Surgery peers
667 annual services across 127 beneficiaries
Standard deviations from WI Orthopedic Surgery mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Orthopedic Joint & Spine Mobility Evaluation | 95 | 12th | $111 – $151 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 71 | 12th | $118 – $161 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 50 | 12th | $66 – $91 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 29 | 12th | $159 – $217 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 18 | 12th | $1021 – $1400 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (38 HCPCS billing breadth) | 404 | 5.26th | $125 – $181 |
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Dr. Steven Kaplan, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Kaplan National Provider Identifier | NPI #1922085075 (MD) | CMS NPPES Registry (53212) |
| Dr. Kaplan Milwaukee CMS Volume Rank | 5.26th Pct (667 CMS svcs; Z -0.802σ) | CMS Medicare Part B (WI Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Milwaukee, WI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 13 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.62/5 Listening • 4.47/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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