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    OpenPayerNPI Medicare & MedicaidAmanda Kappler
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    Amanda Kappler — Billing Profile & Reimbursement Data

    NPI 1700142130 · Washington, DC · Diagnostic Radiology Physician

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    Amanda Kappler is a diagnostic radiology physician provider located in Washington, District of Columbia. This profile covers 19 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
    OrganizationAmanda Kappler
    Address900 23rd St Nw
    CityWashington
    StateDC
    ZIP20037
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedApril 10, 2012

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

    Payer SourceTotal Paid
    Medicare$319.4K
    Medicaid$0

    Key Findings

    This provider’s billing is effectively single‑payer Medicare: total Medicare revenue on file is $319.4K and there is no Medicaid billing on file. The absence of Medicaid activity indicates the provider’s revenue exposure and payer negotiation dynamics are driven almost entirely by Medicare reimbursement patterns.

    Revenue is highly concentrated in a small set of breast‑imaging codes: the precomputed top three codes (77067, 77063, 77066) account for 75.7% of this provider’s total Medicare revenue. Those three appear individually as 77067 $155.8K (48.9%), 77063 $62.1K (19.5%), and 77066 $22.9K (7.2%), showing the practice’s financial dependence on mammography and related services.

    The code mix points to a focused breast‑imaging operation: the highest revenue codes are 77067, 77063, and 77066 (screening mammography, tomosynthesis, and diagnostic mammography), and the file includes breast ultrasound/biopsy codes such as 76642, 76641, 19083, and 19081. This pattern—dominant mammography and tomosynthesis billing with adjunctive ultrasound and biopsy—aligns with an outpatient breast imaging service line rather than a general radiology practice.

    Several breast‑imaging codes show above‑typical national volume: 77063 ranks #943 of 14277 providers nationally (93th percentile; notably above typical national volume for this code), 77066 ranks #412 of 8499 (95th percentile; notably above typical national volume for this code), and G0279 ranks #551 of 9497 (94th percentile; notably above typical national volume for this code). Those ranks suggest the provider is comparatively active in tomosynthesis and related diagnostic mammography relative to national peers, even as total Medicare revenue remains modest.

    By contrast, the single largest revenue driver 77067—while producing $155.8K and representing 48.9% of Medicare revenue—is described in the file as "typical, unremarkable volume for this code" (rank #1058 of 15198, 93th percentile). That combination indicates that most revenue comes from screening mammography, but the screening volume for this provider falls within the normal national distribution rather than being an extreme outlier.

    Non‑breast imaging codes contribute only small shares of revenue, indicating limited diversification: examples include 77080 (DXA) $1.6K (0.5%) and 71046 (chest X‑ray) $1.5K (0.5%). A scattering of low‑revenue spine, hip, and extremity radiography codes further supports the view that non‑breast imaging work is ancillary to the core mammography/tomosynthesis practice.

    A notable billing pattern is A9575 (Injection, gadoterate meglumine) appearing with 5.2K claims and $0 revenue on file. The presence of many A9575 claims with no Medicare revenue to this provider is conspicuous and suggests these supply/contrast units are recorded in claims data but did not generate direct Medicare payments to this provider during the reporting period.

    The provider’s NPI was enumerated on 2012-04-10 (~14 years ago), indicating a stable, established billing history. Coupled with a total Medicare revenue of $319.4K and concentrated reliance on a few mammography/tomosynthesis codes, the profile is most consistent with a long‑standing, focused breast imaging practice that is nationally above typical volume for certain tomosynthesis and diagnostic mammography services but modest in overall Medicare revenue scale.

    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…1,190$130$155.8K
    77063The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…1,200$50$62.1K
    77066The provider performs X–ray imaging on both breasts in a patient with a lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential abnormalities…190$120$22.9K
    77065The provider performs X–ray imaging on one breast in a patient with a known lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential…170$100$16.6K
    77049The provider obtains images of both breasts by applying an external magnetic field and radiofrequency waves to create three–dimensional images, with and without contrast; he may also perform…50$320$15.9K
    G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)280$40$12K
    19083Under ultrasound guidance, the provider takes breast tissue percutaneously from a single lesion for biopsy. He may place a localization device at the same time.20$470$9.4K
    76642In this procedure, the provider performs a focused ultrasound of one breast on a limited area. The procedure includes documentation of the images.110$70$8.2K
    19081Under stereotactic guidance, the provider takes breast tissue percutaneously from a single lesion for biopsy. He may place a localization device at the same time.20$440$6.5K
    76641In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.20$110$2.4K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    77067450480$90$51.6K
    77063450480$40$24.2K
    7704982040$210$10.8K
    770661150110$70$9.3K
    770803940230$30$7.9K
    1908191020$300$7.3K
    19083153030$260$6.6K
    77065115090$60$6.3K
    G02791150180$30$6K
    766422040100$50$5.1K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jill WilkensMDDiagnostic Radiology Physician$509.3K$0
    Stuart FrumanVADiagnostic Radiology Physician$393.8K$0
    Lisa JohnsonVASpecialist$336.5K$0
    Jason KatzenDCDiagnostic Radiology Physician$327.5K$0
    Ingrid OttDCSpecialist$303.5K$0
    Huijung KimDCDiagnostic Radiology Physician$302.7K$0
    Anam SalmanMDDiagnostic Radiology Physician$290K$0
    Mark MonteferranteDCDiagnostic Radiology Physician$286.1K$0
    Gary RoseDCDiagnostic Radiology Physician$277.4K$0
    Anjali MalikVADiagnostic Radiology Physician$247.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    District Hospital Partners L PDCGeneral Acute Care Hospital$0$136.3M
    Medical Faculty Associates, IncDCAnesthesiology Physician$0$75.7M
    Baymark Health Services Of West Virginia, Inc.DCSubstance Use Disorder Rehabilitation Clinic/Center$571.6K$6.4M
    Medical Home Development GroupDCFamily Medicine Physician$0$6.7M
    The Foundation For Contemporary Mental HealthDCPublic Health or Welfare Agency$0$5.4M
    Dva Renal Healthcare IncDCEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3.9M
    Miriam's KitchenDCCase Management Agency$0$3.1M
    Faysal HarounDCHematology & Oncology Physician$2.4M$0
    Rishi SoodDCVascular & Interventional Radiology Physician$2.2M$0
    Matthew ForsthoefelDCRadiation Oncology Physician$1.1M$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. District of Columbia Distribution
    Amanda Kappler — 0 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — District of Columbia