NEVVI Medicare utilization intelligence

← back

Provider profile

KAPLAN, ADAM M.D.

Urology · NPI 1306078050 · SANTA ROSA, CA

1
Groups
26
Codes · 2024
2,153
Disclosed services

KAPLAN, ADAM is a Urology in SANTA ROSA, CA, a member of 1 medical group, who billed 26 distinct codes to Medicare Part B in 2024.

Groups: PROVIDENCE MEDICAL FOUNDATION (FULLERTON, CA)

Year: 2024 · 2023 · 2022 🔒 · 2021 🔒 · 2020 🔒

Provider overview · all codes · CY2024

2,153
disclosed services
26
codes billed to Medicare Part B
Prior year · CY2023 2,767 disclosed services

This provider's disclosed Medicare payments across all codes were premium in CY2024.

Dollars, place-of-service mix, business mix and national standing are part of the market analytics platform — built, not launched yet. Notify me at launch →

All figures are disclosed (CMS suppresses fewer-than-11-beneficiary rows) Medicare Part B fee-for-service — a subset, never complete totals; volumes are personal to this NPI, not attributed to any group. Standing is a billed-volume position among specialty peers with disclosed billing (national percentile; a provider's true standing can only be higher, never lower), not a statement about care. See Methods & Sources.

Procedures billed to Medicare Part B (2024)

Medicare Part B FFS · CY2024 · as published by CMS
This provider's Medicare volumes — services, beneficiary-episodes, and charges — are part of the market analytics platform — built, not launched yet. Notify me at launch →
CodeDescription Services Beneficiary-episodes Avg charge Avg Medicare payment
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more premiumpremium premiumpremium
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more premiumpremium premiumpremium
81002 Urinalysis, manual test premiumpremium premiumpremium
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more premiumpremium premiumpremium
52000 Diagnostic exam of bladder and urethra using an endoscope premiumpremium premiumpremium
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes premiumpremium premiumpremium
J1580 Injection, garamycin, gentamicin, up to 80 mg premiumpremium premiumpremium
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more premiumpremium premiumpremium
76872 Ultrasound scan of pelvic region through rectum premiumpremium premiumpremium
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes premiumpremium premiumpremium
99231 Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes premiumpremium premiumpremium
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more premiumpremium premiumpremium
52332 Insertion of stent in ureter using an endoscope premiumpremium premiumpremium
55700 Biopsy of prostate gland premiumpremium premiumpremium
51702 Simple insertion of temporary bladder tube premiumpremium premiumpremium
52356 Crushing of stone of ureter with insertion of stent using an endoscope premiumpremium premiumpremium
51700 Simple bladder irrigation and/or instillation premiumpremium premiumpremium
52601 Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope premiumpremium premiumpremium
96372 Injection of drug or substance under skin or into muscle premiumpremium premiumpremium
51798 Ultrasound measurement of bladder capacity after voiding premiumpremium premiumpremium
99221 Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes premiumpremium premiumpremium
38571 Removal of lymph nodes of both sides of pelvis using an endoscope premiumpremium premiumpremium
52352 Removal or manipulation of stone in ureter or kidney using an endoscope premiumpremium premiumpremium
52353 Crushing of stone of ureter using an endoscope premiumpremium premiumpremium
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope premiumpremium premiumpremium
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more premiumpremium premiumpremium

These are this provider's own Medicare Part B fee-for-service volumes (CMS public data). CMS suppresses rows with fewer than 11 beneficiaries, so low-volume codes may be missing entirely — absence is not zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average charge and average Medicare payment are weighted by service volume across office and facility settings. Volumes on this page are personal to the NPI and are not attributed to any physician group. See Methods & Sources.