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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAshok Kapur
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    Ashok Kapur — Billing Profile & Reimbursement Data

    NPI 1356395859 · Fort Wayne, IN · Gastroenterology Physician

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    Ashok Kapur is a gastroenterology physician provider located in Fort Wayne, Indiana. This profile covers 13 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
    OrganizationAshok Kapur
    Address11104 Parkview Circle Dr Ste 310
    CityFort Wayne
    StateIN
    ZIP46845
    TaxonomyGastroenterology Physician
    NPI EnumeratedMay 19, 2006

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

    Payer SourceTotal Paid
    Medicare$42.8K
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…50$190$10.2K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.80$70$5.5K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…80$60$4.4K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk30$170$4.3K
    43235The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.50$80$4.1K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk20$170$3K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…30$100$2.9K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…20$130$2.5K
    44361The provider uses an endoscope to examine the intestines for abnormalities, going past the second part of the duodenum but not including the ileum, the last part of the small intestine. He also takes…20$110$1.7K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…10$110$1.5K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4538520637060$260$26.5K
    992322,1113,97090$60$11.8K
    G010511022030$250$10.2K
    4323914133070$100$8.8K
    4436121020$410$8.7K
    4538031334040$140$8.6K
    G012110418020$250$6.4K
    992221,2822,80030$90$4.1K
    432353621030$110$3.8K
    453787518020$160$3.7K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Parkview Health System IncINFamily Medicine Physician$0$88.7M
    Parkview Health System, Inc.INInternal Medicine Physician$0$22.5M
    La Porte Clinic Company LLCINInternal Medicine Physician$0$18.8M
    Deaconess Memorial Medical Center, Inc.INGeneral Acute Care Hospital$0$14.5M
    Parkview Health System, Inc.INObstetrics & Gynecology Physician$0$7.3M
    Deaconess Clinic, IncINPediatrics Physician$0$6.6M
    Steppin Up Physical Therapy, Inc.INPhysical Therapist$0$4.6M
    Deaconess Memorial Medical Center IncINHospitalist Physician$0$4.4M
    Parkview Health System, Inc.INCardiovascular Disease Physician$0$3M
    Medical Foundation, Inc.MSGeriatric Medicine (Family Medicine) Physician$0$1.8M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Parkview Hospital, Inc.INGeneral Acute Care Hospital$0$92.8M
    Fort Wayne Radiology Associates LLCINDiagnostic Radiology Physician$0$8.8M
    Adeel KhanINOphthalmology Physician$6.6M$0
    Park Place Senior Living, LLCINAssisted Living Facility$0$4.4M
    Nephrology Associates Of Northern Indiana, IncINNephrology Physician$0$3.3M
    Allied Hospital Pathologists, P.C.INAnatomic Pathology & Clinical Pathology Physician$0$2.9M
    Gohar SalamINOphthalmology Physician$2.5M$0
    Parkview Ortho Center, LLCINAmbulatory Surgical Clinic/Center$627.7K$15.8K
    Heather RoyINNurse Practitioner$394.6K$0
    Robert BednarekINDermatology Physician$320K$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. Indiana Distribution
    Ashok Kapur — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana