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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDov Kadmon
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    Dov Kadmon — Billing Profile & Reimbursement Data

    NPI 1851481816 · Houston, TX · Urology Physician

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    Dov Kadmon is a urology physician provider located in Houston, Texas. This profile covers 15 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.

    (source: NPPES NPI Registry)

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    Provider details
    FieldValue
    Entity TypeIndividual
    OrganizationDov Kadmon
    Address6620 Main St
    CityHouston
    StateTX
    ZIP77030
    TaxonomyUrology Physician
    NPI EnumeratedOctober 13, 2006

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

    Payer SourceTotal Paid
    Medicare$45.6K
    Medicaid$0

    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…220$40$8.5K
    J9030BCG live intravesical instillation, 1 mg3,050$1$6.1K
    84403The lab analyst performs a test to measure total testosterone, typically in patient serum.200$30$5K
    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…70$70$4.8K
    55700Code deleted December 31, 2025.30$180$4.6K
    76872The provider inserts an ultrasound probe into the rectum and performs a transrectal ultrasound to assess disorders of the prostate, rectum, and surrounding tissues.30$110$3.3K
    86316The lab analyst performs a quantitative immunoassay to evaluate the patient’s specimen for a tumor antigen such as CA 50, CA 72 4, or CA 549.160$20$3.2K
    84153The lab analyst performs testing for total prostate specific antigen, PSA, typically on serum or plasma samples using laboratory analyzers. PSA is a protein the prostate gland produces, and…160$20$2.9K
    84154The lab analyst performs a test to evaluate the level of free prostate specific antigen, called free PSA, in a patient specimen such as serum.160$20$2.9K
    99203The provider sees a new 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 provider…20$80$1.8K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    844034133040$30$11.8K
    8415314378040$20$6.2K
    557009530020$220$6.1K
    J90309402,010$1$5.4K
    841541614050$20$5.1K
    992036,69810,82030$70$3.4K
    51720198050$60$3.4K
    7687212532020$80$2.7K
    8631663040$20$2.3K
    992122345,51030$40$2.2K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ella LeungTXRetina Specialist (Ophthalmology) Physician$1.8M$0
    Haris ZahoorTXMedical Oncology Physician$1.6M$0
    Alberto LopezTXClinical Cardiac Electrophysiology Physician$1.3M$0
    Nidal BuheisTXCardiovascular Disease Physician$847.3K$0
    Richa ShuklaTXGastroenterology Physician$653.2K$0
    John ChancellorTXOphthalmology Physician$647.3K$0
    Joseph JankovicTXNeurology Physician$567.1K$0
    Fernando CuascutTXNeurology Physician$553.7K$0
    Michele DyogiTXPhysical Therapist$442.7K$0
    George HuttonTXNeurology Physician$405.8K$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. Texas Distribution
    Dov Kadmon — 2 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas