ADOLFO KAPLAN, M.D.
Pulmonary Disease Physician · WESLACO, TX
Individual Active NPI 1417984899
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 693 | 2,193 | $433,011 | $270,130 | $206,216 |
| 2023 | 656 | 2,229 | $439,886 | $264,469 | $202,008 |
| 2022 | 759 | 2,725 | $547,972 | $319,432 | $249,985 |
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 | 596 | $129 | $95 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 299 | $91 | $68 |
| 99291 | Critical care, first 30-74 minutes | 183 | $216 | $174 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 141 | $39 | $31 |
| 94729 | Test to examine how well the lungs exchange gases | 129 | $56 | $43 |
| 94726 | Test to determine lung volumes using sensors | 128 | $56 | $43 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 72 | $164 | $119 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 67 | $121 | $96 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 65 | $64 | $51 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 52 | $181 | $145 |
| 94660 | Therapy procedure using a positive pressure ventilator | 48 | $65 | $46 |
| 95800 | Sleep study including heart rate, breathing, and sleep time | 47 | $132 | $93 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | M0452 | TX |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | M0452 | TX | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | M0452 | TX |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Pulmonary Disease Physician providers in Texas
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- NPI 1093804189
- NPI 1265469803
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.