Physician

Adam Gafni-Kane, MD

According to 2025 Medicare claims, Adam Gafni-Kane, MD (NPI: 1275704256) practices obstetrics/gynecology in the Chicago-Naperville-Schaumburg, IL market, with the plurality of this provider's patient population coming from Cook, IL. This provider's primary affiliated billing organization is ENDEAVOR HEALTH MEDICAL GROUP (NPI: 1497701882; TIN: 363738206) and primary practice location at 60035-2558.

Gafni-Kane's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 502 traditional Medicare patients, billed 1,356 HCPCS/CPT codes, and received $137,427 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 2,116 prescription claims across 552 beneficiaries totaling $378,117 in drug costs, led by Myrbetriq (Mirabegron). DME data shows 22 claims. Open Payments data shows 5 records totaling $197. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has risen steadily, from $74,874 to $137,427. Similarly, Part D prescription costs have moved from a lower plateau to a higher plateau, from $103,761 to $378,117. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$69K$137K2015 Medicare payment: $74,874 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $95,896 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $118,513 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $118,652 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $127,350 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $89,814 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $109,538 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $130,323 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $126,034 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $137,427 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20153051,002$74,874
20164441,545$95,896
20175561,910$118,513
20186301,652$118,652
20195151,239$127,350
20204591,023$89,814
20214511,049$109,538
20225451,172$130,323
20235311,092$126,034
20245021,356$137,427

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$223K$446K2015 Drug cost: $103,761 (USD; Tot_Drug_Cst)2016 Drug cost: $146,709 (USD; Tot_Drug_Cst)2017 Drug cost: $217,642 (USD; Tot_Drug_Cst)2018 Drug cost: $310,668 (USD; Tot_Drug_Cst)2019 Drug cost: $399,546 (USD; Tot_Drug_Cst)2020 Drug cost: $385,988 (USD; Tot_Drug_Cst)2021 Drug cost: $439,036 (USD; Tot_Drug_Cst)2022 Drug cost: $445,802 (USD; Tot_Drug_Cst)2023 Drug cost: $425,299 (USD; Tot_Drug_Cst)2024 Drug cost: $378,117 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015191821$103,761
20162541,124$146,709
20173231,355$217,642
20184161,767$310,668
20194221,991$399,546
20204071,765$385,988
20214401,794$439,036
20225311,861$445,802
20235611,979$425,299
20245522,116$378,117

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$6.2K$12K2016 Medicare payment: $3,389 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $5,084 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $9,916 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $7,668 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $7,852 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $12,457 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/R11$3,389
2017N/R11$5,084
2018N/R15$9,916
2019N/R12$7,668
2020N/RN/RN/R
2021N/R11$7,852
2022N/RN/RN/R
2023N/RN/RN/R
2024N/R22$12,457

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more136136$103
51727Complex measurement of pressure of urine flow in bladder with urethra pressure studies3939$82
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more357493$81
52000Diagnostic exam of bladder and urethra using an endoscope8184$59
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's136165$14

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
MyrbetriqMirabegron34414,006$213,982
GemtesaVibegron482,458$39,309
BotoxOnabotulinumtoxina272,298$25,206
Mirabegron ErMirabegron321,770$19,856
Trospium Chloride ErTrospium Chloride694,528$12,980

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4351Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), eachNN/R22$12,457

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.5$197Boston Scientific Corporation
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Adam Gafni-Kane, MD?

Tedicare shows public-source Medicare data for Adam Gafni-Kane, MD (NPI 1275704256), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Adam Gafni-Kane, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Adam Gafni-Kane, MD?

Adam Gafni-Kane, MD is linked to ENDEAVOR HEALTH MEDICAL GROUP (billing NPI 1497701882) in the available physician profile data.

Does Adam Gafni-Kane, MD have Open Payments data?

Adam Gafni-Kane, MD has 5 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.