ADAM KAPLAN, M.D.
Urology Physician · SANTA ROSA, CA
Individual Active NPI 1306078050
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 810 | 4,281 | $1,400,445 | $429,470 | $324,564 |
| 2023 | 734 | 4,443 | $1,321,036 | $447,148 | $340,492 |
| 2022 | 686 | 3,431 | $1,106,762 | $371,176 | $281,979 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 523 | $139 | $101 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 385 | $99 | $71 |
| 81002 | Urinalysis, manual test | 152 | $3 | $3 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 127 | $179 | $124 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 124 | $272 | $204 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 121 | $135 | $106 |
| J1580 | Injection, garamycin, gentamicin, up to 80 mg | 115 | $2 | $2 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 94 | $196 | $147 |
| 76872 | Ultrasound scan of pelvic region through rectum | 68 | $162 | $129 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 67 | $82 | $65 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 50 | $51 | $41 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 40 | $237 | $150 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Urology Physician | 208800000X | ✓ | A114706 | CA |
| Urology Physician | 208800000X | 2014-00467 | NC |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Urology Physician providers in California
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- NPI 1518462266
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.