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.

John Cappleman (NPI 1790783389)

Field	Value
Entity Type	Individual
Organization	John Cappleman
Address	436 N Dillard St
City	Winter Garden
State	FL
ZIP	34787
Taxonomy	Geriatric Medicine (Internal Medicine) Physician
NPI Enumerated	July 8, 2005

Payer Source	Total Paid
Medicare	$404.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

20 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…	2,280	$60	$132K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	750	$130	$94.3K
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…	720	$90	$67.8K
99495	The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…	190	$160	$30K
90662	This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…	220	$70	$15.7K
G0442	Annual alcohol misuse screening, 5 to 15 minutes	770	$20	$13.9K
G0444	Annual depression screening, 5 to 15 minutes	590	$20	$10.7K
G0008	Administration of influenza virus vaccine	260	$30	$7.8K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	1,430	$10	$7.1K
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…	80	$60	$5.2K

Showing 1–10 of 20

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

John Cappleman — 9 of 20 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

20 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	3,428	32,760	140	$90	$25K
G0439	27	7,210	60	$120	$13.4K
99213	101	30,010	80	$60	$12K
90662	97	3,870	40	$70	$7.6K
99204	13,466	19,040	40	$110	$7K
36415	270	6,020	80	$10	$5K
99203	2,687	11,720	40	$70	$4.4K
69210	562	1,070	40	$30	$4.3K
99495	4	1,630	20	$140	$3.9K
G0008	702	6,850	60	$30	$3.9K

Showing 1–10 of 20

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Orlando Health, Inc.	FL	General Acute Care Hospital	$0	$105.5M
Orlando Health Medical Group Inc	FL	Internal Medicine Physician	$0	$57.6M
South Lake Hospital, Inc.	FL	General Acute Care Hospital	$0	$16.9M
Orlando Health Central, Inc.	FL	General Acute Care Hospital	$0	$12.5M
Orlando Physicians Network Inc	FL	Internal Medicine Physician	$0	$9.4M
Yuanbin Chen	FL	Medical Oncology Physician	$2.7M	$0
Amarilis Torres	FL	Rheumatology Physician	$1.7M	$0
Ernesto Rodriguez	FL	Rheumatology Physician	$1.6M	$0
David Lew	FL	Cardiovascular Disease Physician	$1.6M	$0
Orlando Surgery Center, LLC	FL	Ambulatory Surgical Clinic/Center	$1.5M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Center, Inc.	FL	Federally Qualified Health Center (FQHC)	$0	$15.7M
Banji Awosika	FL	Specialist	$515K	$0
Muhammad Malik	FL	Nephrology Physician	$397.9K	$0
Steven Vold	FL	Glaucoma Specialist (Ophthalmology) Physician	$287.4K	$0
Shiva Prasad Shashidharan	FL	Cardiovascular Disease Physician	$126.5K	$87K
Andrew Pepper	FL	Orthopaedic Surgery Physician	$181.2K	$0
Saul Estrada-vazquez	FL	Hospitalist Physician	$98.4K	$0
Pedro Garcia	FL	Internal Medicine Physician	$83.3K	$0
Ismael Acevedo	FL	Hospitalist Physician	$63.6K	$0
Basher Atiquzzaman	FL	Gastroenterology Physician	$56.2K	$0

John Cappleman — Billing Profile & Reimbursement Data

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John Cappleman — 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