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Ninos P Adams, MD

Psychiatry · Bakersfield

NPI 1295143907

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
4
2 carriers
Offices
2

Offices

2 locations · County of Kern · Precision Psychiatric Services Inc

Looking this up.

Plans that list them

4 plans · 2 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Adams’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

4 of 4 plans

Plans whose provider directory lists this clinician
Advantage Care (HMO)Align Senior CareListedOct 1, 2026
Premier Care (HMO I-SNP)Align Senior CareListedOct 1, 2026
Senior Care (HMO I-SNP)Align Senior CareListedOct 1, 2026
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026

California Medical Board record

Licence A144452 · Current

Licensed to practise in California · since 2016 · expires 2028-05-31 · Autonomous University of Guadalajara Faculty of Medicine.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Original Medicare doctor bills

$39,781

Medicare paid this office $39,781 for 85 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes33$23,974$106
Psychiatric diagnostic evaluation with medical services43$7,112$132
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes16$5,143$103
Hospital discharge day management, more than 30 minutes13$1,359$105
Short return visit14$818$31

Who their Medicare patients are

85 Original Medicare patients in 2024. Average age 46 · Under 65 87% · 85 and older 0% · Women 41% · Health risk score 1.20. At or below the middle of the specialty; the typical psychiatry clinician is at 1.35.

Conditions among them: Depression 47% · High blood pressure 46% · Diabetes 31% · COPD 15%.

The office billed $127,284, Medicare allowed $50,516 and paid $39,781; for 384 services of 6 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
202485384461.20$127,284$39,781
202389229491.05$65,797$21,623
202298364490.86$105,497$31,516
202148145471.21$33,652$9,847
202046125481.09$28,187$10,265
201963162481.16$34,062$8,093
20183239471.16$8,986$2,486

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 3 services

Original Medicare services billed in 2023
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes41$9,766$103
Psychiatric diagnostic evaluation with medical services30$5,714$133
Return visit (30+ min)11$423$38

2022: 5 services

Original Medicare services billed in 2022
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes47$14,208$92
Psychiatric diagnostic evaluation with medical services23$3,528$153
Long return visit (40+ min)19$2,113$111
Return visit (30+ min)17$1,693$68
Hospital discharge day management, more than 30 minutes16$1,547$97

2021: 3 services

Original Medicare services billed in 2021
Short return visit (20+ min)19$4,095$64
Telephone medical discussion with physician, 11-20 minutes12$1,444$63
Short return visit13$456$22

2020: 1 service

Original Medicare services billed in 2020
Long return visit (40+ min)26$6,057$93

2019: 3 services

Original Medicare services billed in 2019
Short return visit (20+ min)42$2,786$33
Return visit (30+ min)21$2,563$83
Short return visit (20+ min)18$855$39

2018: 1 service

Original Medicare services billed in 2018
Short return visit (20+ min)15$570$38

Medicaid work

$83,738 in 2023

Medicaid paid $83,738 for 658 billed services this clinician did in 2023, up to 116 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2023
Clinic visit/encounter, all-inclusive338$81,632
Psychiatric diagnostic evaluation with medical services25$1,982
Return visit (30+ min)202$123
Short return visit (20+ min)93$0
Medicaid work by year
20236584116$83,738
2019343916$6,330
See the largest Medicaid services in earlier years

2019

Largest Medicaid services in 2019
Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service31$1,862
GENERAL HEALTH PANEL44$1,791
Measurement of vitamin D 25 hydroxy40$946
Measurement of folic acid in serum42$532
Blood test, lipids (cholesterol and triglycerides)44$475
Hemoglobin A1C level44$352
Measurement of free thyroxine44$326
Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART)12$46
VITAMIN B-1242$0

Drugs they prescribed that Part D paid

$138,397

Pharmacies billed $138,397 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 0% of their Part D prescriptions (0 of 573) in 2024. At or below the middle of the specialty; the typical psychiatry clinician is at 0%.

519 generic and 54 brand-name prescriptions · $138,397 in drug cost · 25 antipsychotic prescriptions to people over 65.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Invega Sustenna36$109,190$3,033
Clozapine22$1,013$46
Haloperidol27$675$25
Divalproex29$616$21
Quetiapine50$547$11
See all 20 drugs
Every Part D drug this clinician prescribed
Invega Sustenna36$109,190$3,033
Clozapine22$1,013$46
Haloperidol27$675$25
Divalproex29$616$21
Quetiapine50$547$11
Mirtazapine22$406$18
Divalproex Sodium Er21$396$19
Olanzapine29$376$13
Carbamazepine14$367$26
Aripiprazole13$287$22
Bupropion Xl29$279$10
Sertraline14$187$13
Trazodone45$166$4
Gabapentin17$143$8
Risperidone20$94$5
Lorazepam13$80$6
Fluoxetine20$72$4
Buspirone11$48$4
Clonazepam13$42$3
Escitalopram11$30$3

Year by year

Part D prescribing by year
2024573880% (0)9%$138,397
2023565930% (0)None$264,045
2022469790% (0)16%$224,376
2021895650% (0)13%$226,659
20201,245830% (0)11%$257,435
20191,5751250% (0)10%$283,835
20189871250% (0)8%$146,545
2017258540% (0)9%$33,803

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 16 drugs

Part D drugs prescribed in 2023
Invega Sustenna64$214,752$3,355
Aripiprazole16$2,662$166
Quetiapine55$2,449$45
Olanzapine52$1,544$30
Carbamazepine13$985$76
Bupropion Xl29$720$25
Divalproex28$675$24
Mirtazapine25$546$22
Buspirone14$519$37
Haloperidol16$465$29
Trazodone33$398$12
Risperidone17$391$23
Gabapentin18$238$13
Lorazepam21$235$11
Fluoxetine22$124$6
Sertraline13$106$8

2022: 18 drugs

Part D drugs prescribed in 2022
Invega Sustenna63$189,944$3,015
Quetiapine28$1,871$67
Aripiprazole14$1,602$114
Olanzapine34$1,477$43
Carbamazepine12$1,280$107
Clozapine18$998$55
Bupropion Xl18$625$35
Haloperidol15$493$33
Divalproex18$299$17
Mirtazapine16$283$18
Lorazepam12$255$21
Risperidone18$250$14
Sertraline21$208$10
Gabapentin18$207$11
Trazodone24$128$5
Topiramate11$106$10
Fluoxetine20$71$4
Escitalopram11$67$6

2021: 27 drugs

Part D drugs prescribed in 2021
Invega Sustenna67$180,662$2,696
Latuda11$15,344$1,395
Quetiapine Fumarate Er12$4,509$376
Aripiprazole31$2,241$72
Quetiapine82$1,604$20
Perphenazine11$1,539$140
Carbamazepine15$1,535$102
Clozapine32$1,502$47
Bupropion Xl39$1,397$36
Trazodone82$870$11
Haloperidol30$777$26
Olanzapine36$522$14
Oxcarbazepine24$469$20
Benztropine Mesylate31$288$9
Fluoxetine60$240$4
Divalproex22$229$10
Fluvoxamine Maleate26$205$8
Escitalopram24$201$8
Lorazepam14$195$14
Propranolol12$186$16
Venlafaxine Hcl Er18$176$10
Topiramate31$174$6
Gabapentin21$159$8
Clonazepam36$130$4
Sertraline23$112$5
Risperidone21$86$4
Citalopram Hbr11$20$2

2020: 33 drugs

Part D drugs prescribed in 2020
Invega Sustenna71$174,029$2,451
Aristada11$31,668$2,879
Latuda13$26,931$2,072
Clozapine62$3,652$59
Aripiprazole28$2,890$103
Bupropion Xl47$2,117$45
Perphenazine14$2,083$149
Quetiapine98$1,684$17
Olanzapine72$1,051$15
Haloperidol41$1,048$26
Trazodone99$866$9
Oxcarbazepine28$693$25
Divalproex40$648$16
Divalproex Sodium Er13$603$46
Carbamazepine20$503$25
Fluoxetine98$489$5
Benztropine Mesylate41$432$11
Clonazepam52$351$7
Fluvoxamine Maleate28$350$12
Propranolol16$325$20
Risperidone49$237$5
Temazepam15$235$16
Topiramate37$234$6
Venlafaxine Hcl Er22$215$10
Hydroxyzine Pamoate18$210$12
Lorazepam19$183$10
Sertraline36$146$4
Gabapentin19$136$7
Hydroxyzine11$111$10
Bupropion Hcl Sr13$107$8
Zolpidem17$96$6
Escitalopram14$40$3
Citalopram Hbr15$29$2

2019: 37 drugs

Part D drugs prescribed in 2019
Invega Sustenna42$91,418$2,177
Latuda34$66,366$1,952
Aristada19$49,601$2,611
Aripiprazole48$17,023$355
Chlorpromazine23$11,904$518
Venlafaxine Hcl Er28$2,779$99
Olanzapine135$2,162$16
Clozapine43$2,154$50
Quetiapine83$1,765$21
Divalproex Sodium Er34$1,420$42
Bupropion Xl33$1,416$43
Divalproex58$917$16
Risperidone85$766$9
Fluoxetine100$758$8
Trazodone86$735$9
Haloperidol31$690$22
Clonazepam88$578$7
Hydroxyzine Pamoate41$549$13
Prazosin18$547$30
Lorazepam41$444$11
Duloxetine14$443$32
Benztropine Mesylate37$383$10
Propranolol21$382$18
Gabapentin34$367$11
Buspirone29$328$11
Topiramate28$309$11
Mirtazapine33$308$9
Fluvoxamine Maleate24$284$12
Lithium Carbonate30$240$8
Bupropion Hcl Sr23$216$9
Zolpidem29$216$7
Temazepam11$190$17
Oxcarbazepine12$185$15
Sertraline30$126$4
Escitalopram19$108$6
Citalopram Hbr15$49$3
Paroxetine11$47$4

2018: 28 drugs

Part D drugs prescribed in 2018
Invega Sustenna32$76,150$2,380
Latuda21$35,611$1,696
Quetiapine Fumarate Er21$2,195$105
Quetiapine96$2,126$22
Divalproex Sodium Er25$1,266$51
Aripiprazole29$1,195$41
Olanzapine81$1,038$13
Fluoxetine69$545$8
Venlafaxine Hcl Er12$545$45
Propranolol33$490$15
Risperidone56$478$9
Trazodone66$441$7
Divalproex28$383$14
Hydroxyzine Pamoate25$313$13
Prazosin12$287$24
Clonazepam65$266$4
Escitalopram19$244$13
Benztropine Mesylate30$227$8
Buspirone19$204$11
Bupropion Hcl Sr13$201$15
Alprazolam12$155$13
Sertraline38$154$4
Lithium Carbonate19$147$8
Gabapentin16$143$9
Lorazepam16$132$8
Mirtazapine16$98$6
Zolpidem13$77$6
Citalopram Hbr16$40$2

2017: 7 drugs

Part D drugs prescribed in 2017
Invega Sustenna11$21,120$1,920
Quetiapine47$541$12
Olanzapine18$202$11
Sertraline21$115$5
Fluoxetine15$95$6
Trazodone13$80$6
Benztropine Mesylate15$71$5

Money from drug and device companies

$989 in 2025

Industry payments by year
202568None$989
202434None$498
202333None$328
202223None$364
202156None$706
201922None$189

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
AlkermesLybalvi$371
3 payments
  • Meals for Lybalvi · 2025-07-16 · $124
  • Meals for Lybalvi · 2025-05-19 · $122
  • Meals for Aristada · 2025-05-14 · $125
Janssen PharmaceuticalsInvega Sustenna$139
1 payment
  • Meals for Invega Sustenna · 2025-03-26 · $139
Otsuka America PharmaceuticalRexulti$125
1 payment
  • Meals for Rexulti · 2025-11-13 · $125
AbbvieVraylar$125
1 payment
  • Meals for Vraylar · 2025-08-19 · $125
ITI Inc. (d/b/a Intra-Cellular Therapies Inc.)Caplyta$121
1 payment
  • Meals for Caplyta · 2025-11-06 · $121
Teva Pharmaceuticals USAUzedy$108
1 payment
  • Meals for Uzedy · 2025-09-18 · $108
See all 8 published payments
Every published payment
Otsuka America PharmaceuticalMeals · 2025-11-13Rexulti$125
ITI Inc. (d/b/a Intra-Cellular Therapies Inc.)Meals · 2025-11-06Caplyta$121
Teva Pharmaceuticals USAMeals · 2025-09-18Uzedy$108
AbbvieMeals · 2025-08-19Vraylar$125
AlkermesMeals · 2025-07-16Lybalvi$124
AlkermesMeals · 2025-05-19Lybalvi$122
AlkermesMeals · 2025-05-14Aristada$125
Janssen PharmaceuticalsMeals · 2025-03-26Invega Sustenna$139
See earlier years (2024, 2023, 2022, 2021, 2019)

2024: $498

Payments by company in 2024
AlkermesLybalvi$244
2 payments
  • Meals for Lybalvi · 2024-10-24 · $125
  • Meals for Lybalvi · 2024-02-21 · $120
Neurocrine BiosciencesIngrezza$128
1 payment
  • Meals for Ingrezza · 2024-09-25 · $128
Janssen PharmaceuticalsInvega Sustenna$125
1 payment
  • Meals for Invega Sustenna · 2024-04-30 · $125

2023: $328

Payments by company in 2023
Janssen PharmaceuticalsInvega Sustenna$125
1 payment
  • Meals for Invega Sustenna · 2023-06-08 · $125
Otsuka America PharmaceuticalAbilify Asimtufii$125
1 payment
  • Meals for Abilify Asimtufii · 2023-07-26 · $125
Neurocrine BiosciencesIngrezza$78
1 payment
  • Meals for Ingrezza · 2023-01-12 · $78

2022: $364

Payments by company in 2022
AlkermesLybalvi$239
2 payments
  • Meals for Aristada · 2022-11-03 · $119
  • Meals for Lybalvi · 2022-07-12 · $120
Janssen PharmaceuticalsInvega Sustenna$125
1 payment
  • Meals for Invega Sustenna · 2022-09-22 · $125

2021: $706

Payments by company in 2021
AlkermesAristada$237
2 payments
  • Meals for Lybalvi · 2021-11-30 · $112
  • Meals for Aristada · 2021-05-13 · $125
Otsuka America PharmaceuticalAbilify Maintena$125
1 payment
  • Meals for Abilify Maintena · 2021-12-09 · $125
Janssen PharmaceuticalsInvega Sustenna$125
1 payment
  • Meals for Invega Sustenna · 2021-08-19 · $125
ItiCaplyta$122
1 payment
  • Meals for Caplyta · 2021-04-14 · $122
Neurocrine BiosciencesIngrezza$96
1 payment
  • Meals for Ingrezza · 2021-06-29 · $96

2019: $189

Payments by company in 2019
AlkermesAristada$100
1 payment
  • Meals for Aristada · 2019-03-14 · $100
Otsuka America PharmaceuticalRexulti$89
1 payment
  • Meals for Rexulti · 2019-08-07 · $89

Professional record

NPI
1295143907
Licence
CA A144452California A144452: Current · expires 2028-05-31
Group
County of Kern · Precision Psychiatric Services Inc
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Psychiatry (2084P0800X)
Mailing address
Po Box 1238, Salida, CA, 95368
NPI first listed
2014-07-25
NPI last updated
2024-05-16
NPI record certified
2024-05-16

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 1600 E Belle Ter, Bakersfield, CA, 93307 · 1100 S Akers St, Visalia, CA, 93277