Medicare Enrolled

Dr. Adolfo Kaplan, M.D.

Critical Care Medicine · Weslaco, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Consulting-driven
1604 E 8TH ST, Weslaco, TX 78596
9564475557
In practice since 2006 (19 years)
NPI: 1417984899 verify on NPPES ↗
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 →
Are you Dr. Kaplan? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Kaplan

Dr. Adolfo Kaplan is a critical care medicine specialist in Weslaco, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Kaplan performed 2,091 Medicare services across 1,544 unique beneficiaries.

Between the years covered by Open Payments, Dr. Kaplan received a total of $8,971 from 19 pharmaceutical and/or device companies across 74 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in critical care medicine. 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. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice ▲ Top 11% volume in TX $8,971 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,091
Medicare services
Top 11% in TX for critical care medicine
1,544
Unique beneficiaries
$91
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~110 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.
580 $96 $150
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.
386 $60 $110
Critical care, first 30-74 min
Emergency medical care for a critically ill or injured patient lasting between 30 and 74 minutes. This service involves direct patient care and medical decision making to stabilize the patient.
187 $167 $376
Spirometry test before and after medication
A test that measures the amount of air you can exhale and the speed of your breathing before and after taking a medication.
149 $29 $130
Pulmonary gas exchange test
A test to examine how well the lungs exchange gases.
138 $41 $100
Lung volume test using sensors
A test that measures the amount of air in the lungs using sensors.
135 $40 $100
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.
94 $123 $200
Positive pressure ventilator therapy
A therapy procedure that uses a positive pressure ventilator to assist with breathing.
79 $47 $100
Exercise-induced lung stress test
A test performed to evaluate how the lungs function during physical exertion. It helps identify breathing difficulties or lung conditions that occur specifically when exercising.
63 $25 $75
Sleep study with heart rate and breathing monitoring
A sleep study that monitors heart rate, breathing patterns, and sleep duration. This test records physiological data while you sleep to assess your sleep quality and breathing function.
54 $101 $200
Sleep study with continuous airway pressure, age 6+
A sleep study conducted in a sleep lab that monitors breathing and other body functions while administering continuous airway pressure. This test is performed on patients aged 6 years or older.
42 $472 $1,500
Chest X-ray, 2 views
An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall.
34 $26 $100
Sleep study in sleep lab (age 6+)
An overnight test conducted in a sleep laboratory to monitor sleep patterns and bodily functions in patients aged 6 years or older.
26 $467 $1,200
Ultrasound scan of chest
An imaging test that uses sound waves to create pictures of the structures inside the chest.
25 $44 $200
Hospital follow-up visit, high complexity
Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter.
22 $93 $150
Smoking cessation counseling, more than 10 minutes
Intensive counseling session focused on helping patients quit smoking and tobacco use, lasting more than 10 minutes.
19 $27 $150
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.
18 $132 $200
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
15 $76 $150
New patient office visit, complex (60-74 min) 13 $162 $250
Expiratory airflow and volume test
A test that measures the amount of air you can exhale and the speed at which you can breathe it out. It evaluates lung function by assessing expiratory airflow and volume.
12 $21 $125
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.

Industry Payment Transparency

Open Payments through 2024 ↗
$8,971
Total received (2018-2024)
Avg $1,282/year across 7 years
Top 16% in TX for critical care medicine
19
Companies
74
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
$4,868 (54.3%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$3,883 (43.3%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$220 (2.5%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$163
2023
$384
2022
$5,141
2021
$296
2020
$115
2019
$2,461
2018
$410

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
United Therapeutics Corporation
$4,981
Pulmonx Corporation
$1,291
Olympus Corporation of the Americas
$869
Actelion Pharmaceuticals US, Inc.
$678
Gilead Sciences, Inc.
$133
Eisai Inc.
$125
GENZYME CORPORATION
$125
BOSTON SCIENTIFIC CORPORATION
$121
AstraZeneca Pharmaceuticals LP
$120
Insmed, Inc.
$115
Avadel CNS Pharmaceuticals, LLC
$77
Merck Sharp & Dohme LLC
$72
CSL Behring
$61
Advanced Respiratory, Inc
$47
Amgen Inc.
$47
Boston Scientific Corporation
$41
Medtronic, Inc.
$34
GlaxoSmithKline, LLC.
$23
Electromed, Inc.
$14
Top 3 companies account for 79.6% of total payments
Associated products mentioned in payments ›
CHARTIS CATHETER · GENERAL THROMBECTOMY · General - Thrombectomy · ILLUMISITE · LUMRYZ · Life 2000 Ventilation System · OPSUMIT · OPSUMIT MACITENTAN · ORENITRAM · Olympus Bronchoscopes · Pulmonx Endobronchial Valve EBV · REMODULIN · SMARTVEST · TAGRISSO · TEZSPIRE · TRELEGY ELLIPTA · TYVASO · UPTRAVI · WINREVAIR · Zemaira
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 (54%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers.

Equivalent to $429 per 100 Medicare services performed
Looking for a critical care medicine specialist in Weslaco?
Compare critical care medicines in the Weslaco area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Critical care medicines within 10 mi
9
Per 100K population
1.0
County median income
$52,281
Nearest hospital
KNAPP MEDICAL CENTER
0.0 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 measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Kaplan is a clinical cardiology specialist, with above-average Medicare volume (top 11% in TX), with consulting-driven industry engagement in the top 16% of TX peers, with 19 years of NPI registration.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. 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 580 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 $8,971 from 19 companies across 74 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 critical care medicines in Weslaco?
Dr. Kaplan's average Medicare payment per service is $91. 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 →
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. The Transparency Score measures 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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →