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    OpenPayerNPI Medicare & MedicaidSandeep Kapoor
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    Sandeep Kapoor — Billing Profile & Reimbursement Data

    NPI 1043264641 · Louisville, KY · Internal Medicine Physician

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    Sandeep Kapoor is a internal medicine physician provider located in Louisville, Kentucky. This profile covers 3 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSandeep Kapoor
    Address2109 Club Vista Pl
    CityLouisville
    StateKY
    ZIP40245
    TaxonomyInternal Medicine Physician
    NPI EnumeratedMay 19, 2006

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

    Payer SourceTotal Paid
    Medicare$68.3K
    Medicaid$11.2K

    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
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…640$50$34.5K
    99305The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…330$100$32.7K
    99304The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider…20$60$1K

    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
    9930861450130$50$14K
    993051014030$100$7.6K
    99304334040$60$4.6K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…300$30$10K
    99305The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…60$20$1.2K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Kentucky providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Kentucky median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…168280490$10$31.4K
    99305The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…306070$20$4.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cogent Healthcare Of Kentucky, PscKYInternal Medicine Physician$0$4.4M
    Pareena BilkooFLInterventional Cardiology Physician$2.9M$0
    Tuan NguyenCAInterventional Cardiology Physician$1.3M$233.5K
    Mahesh MoolaniKYInternal Medicine Physician$245.5K$217.2K
    Ugwuala NwaucheNCInternal Medicine Physician$371.1K$0
    Ghassan ShakhashiroKYHospitalist Physician$336.8K$0
    Osawaru OmoruyiKYFamily Medicine Physician$245.5K$44.2K
    Rahul ReddyKYInternal Medicine Physician$268K$0
    Zaman ShahALInternal Medicine Physician$262.5K$0
    Abhishek KapilaKYInternal Medicine Physician$258.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Premier Surgery Center Of Louisville LPKYAmbulatory Surgical Clinic/Center$2.3M$7.7M
    Us Psychiatry PLLCKYPsychiatry Physician$0$8.5M
    Providence Of Louisville LLCKYCommunity/Behavioral Health Agency$0$5.4M
    Vasudeva IyerKYClinical Neurophysiology Physician$72.2K$434.5K
    Leon ButlerKYInternal Medicine Physician$216.7K$0
    Melissa WiseKYDermatology Physician$158.8K$0
    Denise BarnesKYFamily Nurse Practitioner$153.1K$0
    Brittany O'nealKYFamily Medicine Physician$144.4K$0
    Alberto MaldonadoKYSpecialist$65.9K$76K
    Walgreen CoKYPharmacy$119.9K$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. Kentucky Distribution
    Sandeep Kapoor — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky
    Medicaid Revenue by Year vs. Kentucky Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Kentucky Distribution
    Sandeep Kapoor — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky