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Galina Kapgan, MD

Pediatrics · San Jose

NPI 1750317038

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1

Offices

1 location

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Kapgan’s office at (408) 918-2600 to ask if they take your plan before you enroll.

California Medical Board record

Licence A45156 · Current

Licensed to practise in California · since 1988 · expires 2028-04-30 · Novosibirsk Medical Institute.

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

Medicaid work

$98,612 in 2022

Medicaid paid $98,612 for 1,746 billed services this clinician did in 2022, up to 118 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 2022
Clinic visit/encounter, all-inclusive433$97,909
Short return visit (20+ min)236$367
Short return visit285$336
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy83$0
HEMOGLOBIN156$0
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)157$0
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)54$0
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use24$0
Screening test, pure tone, air only125$0
Bilateral quantitative screening test of visual acuity68$0
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; early childhood (age 1 through 4 years)36$0
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years)22$0
Medicaid work by year
20221,74613118$98,612
202113,45927213$567,880
202011,11524208$399,714
20196,92318160$289,203
20185,71715191$292,115
See the largest Medicaid services in earlier years

2021

Largest Medicaid services in 2021
Clinic visit/encounter, all-inclusive2,595$566,546
Short return visit1,507$612
Short return visit (20+ min)903$340
Screening test, pure tone, air only1,049$154
HEMOGLOBIN1,472$102
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; infant (age younger than 1 year)225$63
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy827$30
Haemophilus influenzae type b vaccine, PRP-OMP conjugate221$16
Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use223$16
Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; first or only component of each vaccine or toxoid administered36$0
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)1,061$0
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)393$0

2020

Largest Medicaid services in 2020
Clinic visit/encounter, all-inclusive2,325$396,888
Short return visit1,411$1,650
Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; first or only component of each vaccine or toxoid administered51$465
Screening test, pure tone, air only832$271
HEMOGLOBIN1,185$173
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; adolescent (age 12 through 17 years)300$93
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years)363$75
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; early childhood (age 1 through 4 years)242$64
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy735$37
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)914$0
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)374$0
Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use44$0

2019

Largest Medicaid services in 2019
Clinic visit/encounter, all-inclusive1,979$288,626
Short return visit (20+ min)739$400
Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; first or only component of each vaccine or toxoid administered20$178
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy467$0
HEMOGLOBIN597$0
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)560$0
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)390$0
Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use12$0
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use188$0
Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use16$0
Screening test, pure tone, air only446$0
Bilateral quantitative screening test of visual acuity447$0

2018

Largest Medicaid services in 2018
Clinic visit/encounter, all-inclusive2,051$288,878
Short return visit (20+ min)603$2,374
Screening test, pure tone, air only379$410
Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; first or only component of each vaccine or toxoid administered25$222
HEMOGLOBIN550$168
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy385$63
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)493$0
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)216$0
Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use12$0
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use105$0
Bilateral quantitative screening test of visual acuity344$0
Short return visit229$0

Money from drug and device companies

$24 in 2021

Industry payments by year
202111None$24
202012None$41

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
Merck Sharp & DohmeNexplanon$24
1 payment
  • Meals for Nexplanon · 2021-04-08 · $24
See the published payment
Every published payment
Merck Sharp & DohmeMeals · 2021-04-08Nexplanon$24
See earlier years (2020)

2020: $41

Payments by company in 2020
Merck Sharp & DohmeNexplanon$41
2 payments
  • Meals for Nexplanon · 2020-10-29 · $16
  • Meals · 2020-06-18 · $25

Professional record

NPI
1750317038
Licence
CA A45156California A45156: Current · expires 2028-04-30
More record details
Sole proprietor
No
Taxonomy
Pediatrics (208000000X)
Mailing address
55 E Julian St, San Jose, CA, 95112
NPI first listed
2006-06-25
NPI last updated
2011-01-04

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