Medicare Enrolled
Dr. Adam Kaplan, M.D.
Urology Physician · Santa Rosa, CA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Consulting-driven
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Kaplan from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Kaplan
Dr. Adam Kaplan is an urology physician in Santa Rosa, CA, with 16 years of NPI registration. Based on federal Medicare data, Dr. Kaplan performed 2,767 Medicare services across 1,712 unique beneficiaries.
Between the years covered by Open Payments, Dr. Kaplan received a total of $60,539 from 52 pharmaceutical and/or device companies across 341 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in urology physician. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Kaplan is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 16 years in practice
▲ Top 29% volume in CA
$60,539 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,767
Medicare services
Top 29% in CA for urology physician
1,712
Unique beneficiaries
$89
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~173 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
468 | $103 | $345 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
380 | $70 | $245 |
| Lidocaine HCl injection for IV infusion, 10 mg Administration of a 10 mg dose of lidocaine hydrochloride via intravenous infusion. |
340 | $0 | $3 |
| Lower leg neurostimulator electrode insertion A procedure to place an electrode in the lower leg for neurostimulation therapy. |
216 | $104 | $344 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
172 | $122 | $447 |
| Injection, garamycin, gentamicin, up to 80 mg | 171 | $2 | $8 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
128 | $145 | $485 |
| Cystourethroscopy A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract. |
120 | $210 | $698 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
100 | $3 | $10 |
| Transrectal ultrasound of the pelvis An ultrasound imaging procedure where a probe is inserted into the rectum to visualize pelvic structures. |
91 | $82 | $412 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
73 | $13 | $39 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
69 | $109 | $350 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
56 | $66 | $185 |
| New patient office visit, complex (60-74 min) | 55 | $178 | $591 |
| Prostate gland biopsy A procedure to remove small samples of tissue from the prostate gland for laboratory examination. |
46 | $203 | $676 |
| Bladder irrigation and/or instillation This procedure involves flushing the bladder with fluid to clear it or introducing medication directly into the bladder. |
44 | $67 | $216 |
| Ureteral stent insertion via endoscope A flexible tube is inserted into the ureter using an endoscope to keep the passage open and allow urine to flow from the kidney to the bladder. |
34 | $90 | $1,199 |
| Ureteral stone crushing with stent insertion An endoscope is used to break up a stone in the ureter, followed by the placement of a stent to keep the ureter open. |
31 | $334 | $1,080 |
| Transurethral prostate removal with electrocautery This procedure involves removing the prostate gland through the urethra using an endoscope and an electrocautery knife to control bleeding. |
31 | $600 | $1,906 |
| Bladder instillation of anti-cancer drug A procedure where an anti-cancer medication is introduced directly into the bladder. This method delivers the treatment locally to the bladder tissue. |
27 | $33 | $243 |
| Simple insertion of temporary bladder tube A procedure to place a temporary tube into the bladder. This allows for the drainage of urine from the bladder. |
23 | $56 | $175 |
| Hospital follow-up visit, low complexity Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service. |
21 | $41 | $100 |
| Bladder ultrasound after voiding An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder. |
16 | $9 | $30 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
16 | $145 | $514 |
| Telephone medical discussion, 21-30 minutes A telephone conversation with a physician lasting between 21 and 30 minutes. This code covers the time spent discussing medical matters over the phone. |
14 | $70 | $345 |
| Ureteral stone crushing with endoscope A procedure to break up a stone in the ureter using an endoscope. The endoscope is inserted to locate and crush the stone. |
13 | $154 | $1,010 |
| Imaging of urinary tract with contrast An imaging test of the urinary tract performed after a contrast agent is injected to enhance visibility of the structures. |
12 | $20 | $219 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
14.6% high complexity
14.8% medium
70.6% routine
Industry Payment Transparency
Open Payments through 2024 ↗$60,539
Total received (2018-2024)
Avg $8,648/year across 7 years
Top 5% in CA for urology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
52
Companies
341
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$32,016 (52.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$19,023 (31.4%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$9,500 (15.7%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,581
2023
$2,028
2022
$3,849
2021
$5,952
2020
$447
2019
$30,072
2018
$16,611
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Sumitomo Pharma America, Inc.
$697
Olympus America Inc.
$262
Astellas Pharma Global Development
$118
Boston Scientific Corporation
$80
ABBVIE INC.
$64
Astellas Pharma US Inc
$57
PFIZER INC.
$55
BIOTISSUE HOLDINGS INC.
$48
INTUITIVE SURGICAL, INC.
$44
Medtronic, Inc.
$35
Merck Sharp & Dohme LLC
$28
Janssen Scientific Affairs, LLC
$28
Janssen Biotech, Inc.
$25
Myriad Genetic Laboratories, Inc.
$25
KARL STORZ Endoscopy-America
$17
Top 3 companies account for 68.1% of 2024 payments
All-time payments by company (2018-2024) ›
Boston Scientific Corporation
$32,549
Intuitive Surgical, Inc.
$13,068
BOSTON SCIENTIFIC CORPORATION
$7,740
Sumitomo Pharma America, Inc.
$1,588
Olympus America Inc.
$1,041
Astellas Pharma US Inc
$703
UROVANT SCIENCES INC
$419
C. R. Bard, Inc. & Subsidiaries
$331
AbbVie, Inc.
$301
Progenics Pharmaceuticals, Inc.
$266
Janssen Biotech, Inc.
$259
Cook Incorporated
$250
Myriad Genetic Laboratories, Inc.
$142
180 Medical, Inc.
$139
ABBVIE INC.
$131
Astellas Pharma Global Development
$118
PFIZER INC.
$98
AbbVie Inc.
$82
Merck Sharp & Dohme LLC
$81
Dornier MedTech America, Inc
$64
Travere Therapeutics, Inc.
$60
Janssen Scientific Affairs, LLC
$58
Myovant Sciences Inc.
$58
TOLMAR Pharmaceuticals, Inc.
$56
Amgen Inc.
$55
Allergan Inc.
$55
UroGen Pharma, Inc.
$53
Merck Sharp & Dohme Corporation
$53
Agiliti Surgical, Inc.
$50
BIOTISSUE HOLDINGS INC.
$48
AngioDynamics, Inc.
$47
Dendreon Pharmaceuticals LLC
$46
Retrophin, Inc.
$44
Bayer HealthCare Pharmaceuticals Inc.
$44
Ambu Inc.
$44
INTUITIVE SURGICAL, INC.
$44
Allergan, Inc.
$38
Medtronic, Inc.
$35
Amniox Medical, Inc.
$31
Endo Pharmaceuticals Inc.
$30
Ethicon US, LLC
$25
DENTSPLY IH Inc.
$25
Profound Medical Corp.
$24
Bayer Healthcare Pharmaceuticals Inc.
$24
Ferring Pharmaceuticals Inc.
$19
C. R. BARD, INC. & SUBSIDIARIES
$18
KARL STORZ Endoscopy-America
$17
Avadel Specialty Pharmaceuticals, LLC
$16
COLOPLAST CORP
$16
Axonics, Inc.
$15
Laborie Medical Technologies Corp.
$13
Janssen Pharmaceuticals, Inc
$9
Top 3 companies account for 88.1% of all-time payments
Associated products mentioned in payments ›
(815) Thiola · AMS 700 · AVEED · Androgel · Axonics r-SNM System · BOTOX · CLINICAL TRIAL PRODUCT · CURE CATHETER · CURE ULTRA CATHETER · Da Vinci Surgical System · Dornier MedTech · ELIGARD · ERLEADA · Enseal X1 · Erleada · FIRMAGON · GEMTESA · GENERAL KIDNEY STONE DISEASE · GENERAL KIDNEY STONE DISEASE · GENERAL ONCOLOGY · GENERAL THERAPIES · GENERAL - KIDNEY STONE DISEASE · GENERAL KIDNEY STONE DISEASE · General - Kidney Stone Disease · GentleCath · Gyrus ACMI · INTERSTIM · JELMYTO · KEYTRUDA · LITHOVUE · LOFRIC · LUPRON DEPOT · LithoVue · LoFric · Lupron · Lupron Depot · MYRBETRIQ · Myrbetriq · NANOKNIFE · NAVIGUIDE · NEOX · Noctiva · Nubeqa · ORGOVYX · Olympus Cysto-Resection · Olympus Laser Devices · PROLARIS · PROVENGE · PYLARIFY · Piranha · Prolaris · Prolia · REZUM · ROCHESTER MAGIC3 · SOLTIVE · SPACEOAR · STONE CONE · SUTENT · SpaceOAR VUE System - 10mL · THERAPIES · Thiola · Titan · Tulsa-Pro · UGN Laser Capital · XIAFLEX · XTANDI · Xtandi · ZYTIGA · iTIND System · rezum Generator
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
The majority of payments (53%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 5% for urology physician in CA.
Geographic Context
Urology physicians within 10 mi
13
Per 100K population
2.7
County median income
$102,840
Nearest hospital
SUTTER SANTA ROSA REGIONAL HOSPITAL
3.8 mi
3.8 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Kaplan is a clinical cardiology specialist, with above-average Medicare volume (top 29% in CA), with consulting-driven industry engagement in the top 5% of CA peers, with 16 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Kaplan experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Kaplan performed 468 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Kaplan receive payments from pharmaceutical companies?
Yes. Dr. Kaplan received a total of $60,539 from 52 companies across 341 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Kaplan's costs compare to other urology physicians in Santa Rosa?
Dr. Kaplan's average Medicare payment per service is $89. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Kaplan) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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