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NPI 1497887038 · Redwood City, CA · Internal Medicine Physician
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John Kapoor is a internal medicine physician provider located in Redwood City, California. This profile covers 14 Medicare and 10 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | John Kapoor |
| Address | 1150 Veterans Blvd |
| City | Redwood City |
| State | CA |
| ZIP | 94063 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | March 9, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $812.8K |
| Medicaid | $575.1K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
14 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99308 | The 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… | 10,180 | $60 | $631.2K |
| 99233 | The 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… | 640 | $100 | $64.4K |
| 99305 | The 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… | 300 | $110 | $33.9K |
| 99222 | The 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… | 160 | $110 | $17.4K |
| 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… | 180 | $100 | $17.2K |
| 99497 | The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30… | 250 | $60 | $16.2K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 110 | $60 | $5.9K |
| 99232 | The 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… | 90 | $70 | $5.8K |
| 99348 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30… | 70 | $60 | $4.3K |
| 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… | 60 | $70 | $4.1K |
Showing 1–10 of 14
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
14 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99308 | 4 | 1,640 | 190 | $60 | $35.5K |
| 93306 | 1,676 | 2,400 | 240 | $110 | $34.1K |
| 99233 | 1,021 | 11,530 | 120 | $100 | $26.2K |
| 99214 | 14,485 | 37,970 | 120 | $90 | $23.2K |
| 99232 | 6,179 | 12,280 | 90 | $70 | $16.3K |
| 99305 | 57 | 710 | 50 | $110 | $13.4K |
| 99213 | 20,507 | 34,660 | 80 | $70 | $13.2K |
| 99348 | 471 | 850 | 90 | $60 | $13.1K |
| 17000 | 1,499 | 2,270 | 150 | $40 | $11.4K |
| 99497 | 285 | 2,560 | 50 | $70 | $8K |
Showing 1–10 of 14
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99308 | The 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… | 21,690 | $20 | $433.9K |
| 99233 | The 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… | 1,450 | $30 | $46.3K |
| 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… | 630 | $60 | $34.5K |
| 99222 | The 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… | 500 | $50 | $25.7K |
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 1,210 | $10 | $12.1K |
| 99232 | The 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… | 470 | $20 | $9.8K |
| 99305 | The 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… | 100 | $30 | $2.9K |
| 99335 | N/A | 280 | $1 | $830 |
| 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… | 20 | $30 | $530 |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 60 | $10 | $310 |
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
10 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 1,154 | 1,500 | 410 | $100 | $209.4K |
| 99233 | The 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… | 906 | 2,670 | 540 | $40 | $183.4K |
| 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… | 6,678 | 13,300 | 640 | $40 | $169.6K |
| 99232 | The 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… | 1,443 | 2,840 | 490 | $40 | $139.6K |
| 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… | 13,593 | 14,520 | 760 | $10 | $122.8K |
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 598 | 1,480 | 560 | $10 | $62.2K |
| 99222 | The 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… | 319 | 1,280 | 120 | $90 | $56.6K |
| 99308 | The 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… | 23 | 1,150 | 400 | $20 | $42K |
| 99305 | The 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… | 124 | 270 | 90 | $30 | $14.6K |
| 99335 | N/A | 74 | 200 | 120 | $20 | $11.9K |
Other providers in the same ZIP code as John Kapoor, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Guardant Health, Inc. | CA | Clinical Medical Laboratory | $174.5M | $19.1M |
| Genomic Health, Inc. | CA | Clinical Medical Laboratory | $96.8M | $96.6M |
| County Of San Mateo | CA | Federally Qualified Health Center (FQHC) | $0 | $53.6M |
| San Mateo County | CA | Community/Behavioral Health Agency | $0 | $48.2M |
| Peninsula Procedure Center, LP | CA | Ambulatory Surgical Clinic/Center | $901.9K | $0 |
| Christopher Bonzon | CA | Physical Medicine & Rehabilitation Physician | $253.7K | $0 |
| Chris Threatt | CA | Urology Physician | $197.8K | $0 |
| Bruce Lehnert | CA | Podiatrist | $189.1K | $0 |
| Jeffrey Yao | CA | Orthopaedic Hand Surgery Physician | $145.9K | $0 |
| Liam Bosch | CA | Adult Reconstructive Orthopaedic Surgery Physician | $78K | $0 |
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