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    OpenPayerNPI Medicare & MedicaidNeal Adams
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    Neal Adams — Billing Profile & Reimbursement Data

    NPI 1659407823 · Napa, CA · Psychiatry Physician

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    Neal Adams is a psychiatry physician provider located in Napa, California. This profile covers 3 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
    OrganizationNeal Adams
    Address1364 Milton Rd
    CityNapa
    StateCA
    ZIP94559
    TaxonomyPsychiatry Physician
    NPI EnumeratedFebruary 24, 2007

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

    Payer SourceTotal Paid
    Medicare$8.6K
    Medicaid$0

    Key Findings

    This provider is a psychiatry physician in Napa, CA who has been NPI-enumerated since 2007-02-24 (~19 years ago), indicating long-standing participation in Medicare billing and clinical practice continuity in the community.

    Medicare is the only payer on file: total Medicare revenue is $8.6K while there is no Medicaid billing on file, so this provider effectively operates as a single-payer (Medicare-only) billing profile in the available data.

    Revenue concentration is highly focused in three services: the precomputed top three Medicare codes account for 100.0% of this provider's total Medicare revenue, showing that a small set of E/M and psychiatric codes entirely drive reported Medicare income.

    Office/outpatient E/M visits are the largest single source of Medicare revenue: code 99214 generated $3.7K (42.4% of Medicare revenue) and the provider’s national rank of #382002 of 479517 (20th percentile) indicates modest, typical volume for this code rather than being a high-volume or dominant national provider.

    Initial psychiatric evaluation 90791 is a material revenue source: 90791 produced $3K (34.2% of Medicare revenue) and the provider ranks #5575 of 11185 (48th percentile), reflecting roughly mid-range activity among peers who bill this service and suggesting routine diagnostic/initial evaluation work in the practice.

    Psychotherapy add-on 90833 accounts for $2K (23.4% of Medicare revenue) and the provider’s rank of #6434 of 7842 (17th percentile) places them below many peers in volume for that specific add-on psychotherapy service, suggesting psychotherapy provided in combination with E/M is present but not a high-volume activity.

    The code mix (99214, 90791, 90833) indicates a blended practice of established outpatient management and focused psychiatric assessment with supplemental psychotherapy during E/M encounters; this pattern is consistent with individual outpatient psychiatry rather than procedural or institutional behavioral health services.

    Competitive standing across the three top codes is modest: percentile ranks (20th, 48th, 17th) show the provider is not a national leader on these CPTs and generally performs at or below typical volumes for peers, implying limited market share in Medicare for these specific psychiatry services.

    Given the small absolute Medicare revenue ($8.6K) and complete lack of Medicaid billing, this profile suggests a limited Medicare panel size or low billing frequency rather than broad payer diversification; any business or network analyses should treat this entity as a low-volume Medicare-only psychiatry billing source in Napa, CA.

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…30$110$3.7K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.20$140$3K
    90833In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…40$60$2K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    3 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141337,970120$90$23.2K
    908331780120$50$13.6K
    90791184020$130$8.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kcs, Inc.CAFederally Qualified Health Center (FQHC)$0$43.1M
    Mabel Anti AsieduCAAdult Health Nurse Practitioner$404.1K$0
    Mary HeadleyCAFamily Nurse Practitioner$348.4K$0
    Tracey BurrellCAClinical Psychologist$324K$0
    Brian LynnCAClinical Psychologist$272.6K$0
    Melanie BennettCAClinical Psychologist$258.6K$0
    Rhodora MagtibayCANurse Practitioner$257.8K$0
    Jared KligerCAClinical Psychologist$250.2K$0
    Dominika SwistunUTClinical Psychologist$222.9K$0
    Moses ShirinianCAClinical Psychologist$222.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ole HealthCAFederally Qualified Health Center (FQHC)$0$31.5M
    Lauren GebauerCAMOHS-Micrographic Surgery Physician$876.8K$0
    Erica AronsonCADermatology Physician$518.7K$0
    Nitesh ModyCACritical Care Medicine (Anesthesiology) Physician$87.1K$42.9K
    Tamara BradyCAMedical Physician Assistant$94.1K$0
    Nolan WilliamsCAPsychiatry Physician$5.9K$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. California Distribution
    Neal Adams — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California