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 Florida for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Florida 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. Florida (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.

Rachel Kapelow (NPI 1366804098)

Field	Value
Entity Type	Individual
Organization	Rachel Kapelow
Address	14610 S Military Trl Ste G3
City	Delray Beach
State	FL
ZIP	33484
Taxonomy	Rheumatology Physician
NPI Enumerated	March 22, 2016

Payer Source	Total Paid
Medicare	$2.1M
Medicaid	$0

Medicare: Complete Services Breakdown

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

59 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0129	Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	13,150	$30	$447.1K
J0897	Injection, denosumab, 1 mg	17,640	$20	$317.5K
J0717	Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	78,200	$1	$312.8K
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…	2,380	$100	$232.8K
J3111	Injection, romosozumab-aqqg, 1 mg	15,330	$10	$122.7K
J1602	Injection, golimumab, 1 mg, for intravenous use	10,600	$10	$106K
J3262	Injection, tocilizumab, 1 mg	17,360	$10	$86.8K
20611	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…	700	$90	$60.9K
96401	The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.	1,040	$60	$60.1K
76942	Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human…	800	$50	$37.5K

Showing 1–10 of 59

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 59 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Rachel Kapelow — 10 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

59 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0129	36	130	9,350	$30	$386.8K
J0717	33	120	52,000	$1	$302.7K
J3262	61	70	38,360	$1	$241.9K
J1602	62	90	13,930	$10	$184.6K
J3111	74	140	16,170	$10	$166.4K
J0897	68	1,060	3,290	$20	$106.5K
J3304	23	50	1,310	$10	$38K
J7326	78	130	40	$400	$28.5K
96413	236	730	200	$100	$26.1K
99214	165	32,760	140	$90	$25K

Showing 1–10 of 59

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Marc Hirsh	FL	Rheumatology Physician	$4.6M	$0
Alain Alvarez	FL	Rheumatology Physician	$1.9M	$0
Shelley Singh	FL	Rheumatology Physician	$1.4M	$0
Irfan Raheem	FL	Rheumatology Physician	$1.3M	$0
Evan Abramsky	FL	Physician Assistant	$963.6K	$0
Javier Chiriboga	FL	Nurse Practitioner	$721.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Inphynet Contracting Services LLC	FL	Emergency Medicine Physician	$0	$15.7M
James Snider	FL	Radiation Oncology Physician	$2.7M	$0
Robert Raden	FL	Ophthalmology Physician	$2.4M	$0
Francisco Nascimento	FL	Interventional Cardiology Physician	$2.4M	$0
Eliahou Cohen	FL	Dermatology Physician	$2.3M	$0
Brian Feinstein	FL	Dermatology Physician	$2.2M	$0
Robert Aportela	FL	Anatomic Pathology & Clinical Pathology Physician	$2.1M	$0
Timothy Williams	FL	Radiation Oncology Physician	$2M	$0
Shawn Baca	FL	Rheumatology Physician	$2M	$0
Boca Raton Outpatient Laser Center Pathology Services Inc	FL	Anatomic Pathology & Clinical Pathology Physician	$1.6M	$348.7K

Rachel Kapelow — Billing Profile & Reimbursement Data

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Rachel Kapelow — 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