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    OpenPayerNPI Medicare & MedicaidAdam Feldman
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    Adam Feldman — Billing Profile & Reimbursement Data

    NPI 1457342636 · Boston, MA · Urology Physician

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    Adam Feldman is a urology physician provider located in Boston, Massachusetts. This profile covers 21 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAdam Feldman
    Address55 Fruit St
    CityBoston
    StateMA
    ZIP02114
    TaxonomyUrology Physician
    NPI EnumeratedNovember 4, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$1.6M
    Medicaid$0

    Key Findings

    This provider’s Medicare footprint is the sole payer source on file: lifetime Medicare revenue is $1.6M and there is no Medicaid billing on file, so ADAM FELDMAN operates effectively as a single-payer (Medicare) practice in this dataset. That concentration has direct implications for reimbursement risk and contracting leverage, since Medicaid volume is absent and Medicare drives all reported revenue.

    Revenue is highly concentrated in a single drug code and a narrow set of services: the precomputed top 3 Medicare codes account for 92.8% of the provider’s total Medicare revenue, with J9281 alone contributing $1.4M (87.3% of Medicare revenue). This indicates that a single therapy — Mitomycin pyelocalyceal instillation (J9281) — dominates financial performance and any changes to coverage or pricing for that code would materially affect overall revenue.

    The code mix indicates a specialized uro-oncology practice oriented around intravesical therapies and cystoscopic procedures. High counts and revenue for J9281 and the presence of J9030 (BCG intravesical instillation), 51720 (intravesical anticarcinogenic instillation), plus cystoscopy codes 52000 and 52005 show repeated administration of bladder-directed chemotherapies/biologics and frequent endoscopic bladder evaluations rather than an office-based primary care mix. E/M codes such as 99214 and 99213 are present but represent a much smaller share of revenue, consistent with a procedure-driven specialty practice.

    Competitive standing by code is mixed: J9281 ranks #1 of 2 providers nationally and is in the 100th percentile, yet the lifecycle note classifies its volume for that code as "typical, unremarkable volume," which suggests the national pool for that specific code is small even though this provider captures a large share of their own revenue from it. Conversely, the provider is an extreme high-volume outlier on several procedural codes—51720 ranks #12 of 1401 (99th percentile) and 74420 ranks #41 of 3813 (99th percentile)—indicating unusually high national procedural throughput for those specific services compared with peers.

    Several codes show materially above-typical volumes: 51720 and 74420 are labeled "extreme outlier, far above typical national volume," while J9030 and 52332 are labeled "notably above typical national volume." These labels and ranks (for example, J9030 at #34 of 866, 96th percentile) point to a practice that performs intravesical therapy and related procedures at volumes well above most peers, which may reflect a focused clinical niche or a high local referral flow for bladder cancer care.

    The provider bills very high claim counts for certain low-paid drug administration codes, which creates a characteristic reimbursement profile: for example, J9030 has 5.7K claims but only $11.4K revenue and J9281 has 5.9K claims associated with $1.4M revenue. This pattern — large numbers of drug administration claims with uneven per-claim payments — suggests routine, repeated in-office or ambulatory instillations where per-unit pricing and claim volume both shape revenue more than high E/M reimbursement.

    Operationally, the mix of cystoscopy codes (52000, 52005, 52332, 52310) combined with imaging and procedural codes (74420, 76872) suggests in-house procedural capacity for endoscopic evaluation, ureteral stent placement, and retrograde urography. That procedural breadth supports a business model centered on diagnostics and recurring intravesical treatment rather than longitudinal primary care visits; the relatively modest revenue from office E/M codes (e.g., 99214 $34.6K) underscores this orientation.

    The provider has long tenure in the National Provider Identifier system (NPI enumerated 2005-11-04, ~21 years ago), indicating an established presence in the market. When combined with the concentrated, high-volume procedural profile on several urology-specific codes, the tenure supports the interpretation of a stable, specialized practice with a developed referral base for bladder-directed therapies and endoscopic services.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9281Mitomycin pyelocalyceal instillation, 1 mg5,920$230$1.4M
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…240$210$51.1K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…340$100$34.6K
    51720This is a common treatment for bladder cancer. It involves instilling an anticarcinogenic agent into the bladder through a catheter. The provider leaves the agent in the bladder for a period of time…260$80$19.9K
    52005The provider performs a cystourethroscopy, inspection of the interior areas of the bladder, urethra, and ureteric pelvis; he may or may not irrigate the bladder, instill fluids, or perform imaging of…50$270$14.6K
    J9030BCG live intravesical instillation, 1 mg5,700$1$11.4K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…80$140$11.2K
    52332The provider performs cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…60$200$11.1K
    55700Code deleted December 31, 2025.50$180$8.3K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…90$70$6.6K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J92811105,920$230$1.4M
    520001024090$170$17.6K
    992142,39415,410110$80$15.6K
    992154,8576,36040$120$8.9K
    992135,86913,70070$60$8.8K
    J90302302,430$1$7.2K
    5223582020$300$6.1K
    52310437020$250$5.8K
    992049325,87030$120$5.6K
    557001611020$170$5.2K

    Showing 1–10 of 21

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Adam Feldman, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The General Hospital CorporationMAGeneral Acute Care Hospital$0$438M
    Cambridge Public Health CommissionMAGeneral Acute Care Hospital$0$352.9M
    Community Physicians Of Indiana IncINFamily Medicine Physician$0$185M
    Massachusetts General Physicians Organization IncMADermatology Physician$0$60.2M
    Boston Emergency Physician Foundation, Inc.MAEmergency Medicine Physician$0$24.3M
    Colorado Permanente Medical Group, P.C.COInternal Medicine Physician$0$23.2M
    Cambridge Public Health CommissionMAClinic/Center$0$19.8M
    Cambridge Public Health CommissionMAGeneral Acute Care Hospital$0$9M
    David ReedMARetina Specialist (Ophthalmology) Physician$7.7M$0
    Torsten WiegandMARetina Specialist (Ophthalmology) Physician$7.6M$0

    Nearby Providers

    Other providers in the same ZIP code as Adam Feldman, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Massachusetts Eye And Ear InfirmaryMAGeneral Acute Care Hospital$0$68.1M
    Bay Cove Human Services, IncMACommunity/Behavioral Health Agency$630.5K$36.4M
    Jewish Family & Children's ServiceMACase Management Agency$0$12.5M
    Commonwealth Of MassachusettsMACase Management Agency$0$10.4M
    Massachusetts Eye And Ear Associates, Inc.MAOphthalmology Physician$0$6.6M
    Chirag ShahMARetina Specialist (Ophthalmology) Physician$5M$0
    Miriam Englander-paschalis IliosMARetina Specialist (Ophthalmology) Physician$4.5M$0
    Jeffrey HeierMARetina Specialist (Ophthalmology) Physician$3.6M$0
    Adam ChinMAOphthalmology Physician$3.4M$870
    Tina ClearyMARetina Specialist (Ophthalmology) Physician$2.8M$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Massachusetts Distribution
    Adam Feldman — 6 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts