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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDaniel Kapadia
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    Daniel Kapadia — Billing Profile & Reimbursement Data

    NPI 1093179681 · Rochester, MI · Pulmonary Disease Physician

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    Daniel Kapadia is a pulmonary disease physician provider located in Rochester, Michigan. This profile covers 11 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDaniel Kapadia
    Address1101 W University Dr
    CityRochester
    StateMI
    ZIP48307
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedApril 8, 2016

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

    Payer SourceTotal Paid
    Medicare$12.7K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…30$180$4.5K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…20$100$2.2K
    31629The provider uses a diagnostic rigid or flexible bronchoscope to obtain one or more biopsies from the trachea, main stem, and/or lobar bronchus using a transbronchial needle aspiration technique.10$130$1.6K
    31622In this procedure, the provider performs diagnostic rigid or flexible bronchoscopy, a test to view airways and diagnose lung disease. He may or may not use fluoroscopic guidance to perform this test.…10$90$1.1K
    31628The provider uses a rigid or flexible bronchoscope to obtain one or more transbronchial biopsies from a single lobe of the lung. The provider may use fluoroscopic guidance.20$60$990
    31627In this add–on procedure, the provider uses previously taken CT or MRI images integrated with specialized software to facilitate bronchoscopy.10$80$940
    31654In this add–on procedure, the provider uses ultrasound guidance in the throat (trachea) and/or the major air passages to the lungs (bronchi) in addition to passing a rigid or flexible scope into the…10$50$590
    31624In this procedure, the provider uses a rigid or flexible bronchoscope for bronchial alveolar lavage, a procedure using saline solution to wash the cells from alveoli, the air sacs at the end of the…20$10$240
    94618The provider performs pulmonary stress testing to evaluate lung function and to diagnose certain lung disorders. The stress component may include a six–minute walk test or other form of exercise.10$20$230
    99152The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…20$10$180

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992333,5674,22070$90$12.3K
    992911,7682,74040$170$10K
    31629122020$110$2.3K
    31622101020$90$1.7K
    31627142010$70$1.4K
    31628163020$70$1.3K
    31654131020$50$1K
    31624358020$40$940
    9915260471050$20$940
    9461811913030$20$830

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Henry Ford Wyandotte HospitalMIGeneral Acute Care Hospital$0$60.5M
    Henry Ford Health SystemMIAnesthesiology Physician$0$5.5M
    Mustafa HashemMIInterventional Cardiology Physician$749.9K$0
    Subrahmanya YellayiMICardiovascular Disease Physician$386K$0
    Syed JafriMICardiovascular Disease Physician$301.6K$0
    Qaiser ShafiqMIInterventional Cardiology Physician$289K$0
    Mohammed Abu-mahfouzMICardiovascular Disease Physician$271.9K$0
    Kempaiah GowdaMICardiovascular Disease Physician$262.5K$0
    Ameen AbdulmalikMIInterventional Cardiology Physician$249.6K$0
    Irfan AhmedOHPsychiatry Physician$185.7K$52.7K

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Michigan Distribution
    Daniel Kapadia — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan