Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New York for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New York only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New York (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Deborah Cappell (NPI 1265544639)

Field	Value
Entity Type	Individual
Organization	Deborah Cappell
Address	55 Palmer Avenue
City	Bronxville
State	NY
ZIP	10708
Taxonomy	Sleep Medicine (Internal Medicine) Physician
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicare	$56.2K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	260	$80	$20.1K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	100	$110	$11.3K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	60	$110	$5.9K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	60	$90	$5.5K
95806	A technologist is not in attendance during this sleep study, which involves measuring several parameters while the patient sleeps in a clinic or sleep lab to help diagnose sleep disorders.	130	$40	$5.1K
95811	During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.	50	$110	$5K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	20	$160	$3.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Deborah Cappell — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	14,655	30,450	90	$100	$19K
95811	36	140	30	$300	$12.4K
99213	5,885	31,440	80	$70	$12.1K
95810	37	180	30	$260	$10.5K
99204	9,041	14,170	30	$130	$6.6K
99203	3,297	11,360	30	$90	$4.7K
95806	5	90	30	$50	$2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Apar Gupta	AZ	Radiation Oncology Physician	$1.3M	$0
Granit Veseli	CT	Clinical Cardiac Electrophysiology Physician	$567.3K	$10
Shyam Shivdasani	NY	Internal Medicine Physician	$457.5K	$34.1K
Anatoliy Tsirlin	CT	Endocrinology, Diabetes & Metabolism Physician	$333.8K	$0
Miroslav Nudelman	NY	Pulmonary Disease Physician	$260.7K	$6.8K
David Goldberg	NY	Internal Medicine Physician	$259.7K	$0
Misbahuddin Khaja	NY	Pulmonary Disease Physician	$69.3K	$179.3K
Asif Ahmad	DC	Diagnostic Radiology Physician	$218K	$21.4K
George Piccorelli	NY	Vascular Surgery Physician	$204.9K	$0
Eva Rubin	NY	Pulmonary Disease Physician	$187.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The New York And Presbyterian Hospital	NY	General Acute Care Hospital	$0	$18.8M
Steven Bodine	NY	Ophthalmology Physician	$802.7K	$1.2M
Charles Mango	NY	Ophthalmology Physician	$1.7M	$77.5K
Dev Panigrahi	NY	Specialist	$233.7K	$11.7K
Anthony Salvate	NY	Cardiovascular Disease Physician	$140.7K	$1.3K

Deborah Cappell — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References