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

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

Rishi Kapila (NPI 1811197973)

Field	Value
Entity Type	Individual
Organization	Rishi Kapila
Address	27200 Calaroga Ave
City	Hayward
State	CA
ZIP	94545
Taxonomy	Hospitalist Physician
NPI Enumerated	July 18, 2007

Payer Source	Total Paid
Medicare	$500.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	2,010	$70	$140.5K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	650	$190	$122.6K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	870	$100	$89.3K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	480	$150	$69.6K
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…	480	$100	$48.9K
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…	240	$110	$25.1K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	50	$70	$3.7K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	20	$40	$710

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Rishi Kapila — 5 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	3,601	11,530	120	$100	$26.2K
99291	100	7,220	60	$180	$18.6K
99232	209	12,280	90	$70	$16.3K
99223	155	13,190	50	$140	$11.3K
99239	5	5,050	60	$100	$8.3K
99222	39	7,350	30	$110	$5K
99231	2,255	2,580	40	$40	$3.6K
99238	564	2,430	30	$70	$3.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thomas Schlesinger	CA	Retina Specialist (Ophthalmology) Physician	$4.3M	$7.9M
Shalini Yalamanchi	CA	Ophthalmology Physician	$4.6M	$7.2M
Stephen Meffert	CA	Retina Specialist (Ophthalmology) Physician	$3.2M	$5.5M
Louis Chang	CA	Ophthalmology Physician	$2.2M	$5.9M
Matthew Powers	CA	Retina Specialist (Ophthalmology) Physician	$3.7M	$4.3M
Ira Schachar	CA	Retina Specialist (Ophthalmology) Physician	$3.9M	$4.1M
Alok Bansal	CA	Ophthalmology Physician	$3M	$4.7M
Khosrow Mehrany	CA	Specialist	$7.7M	$0
Jon Keller	CA	Anatomic Pathology & Clinical Pathology Physician	$6.4M	$0
Min-wei Lee	CA	Dermatology Physician	$390.1K	$5.1M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Falck Northern California Corp.	CA	Ambulance	$11.3M	$65.1M
National Labs Inc	CA	Clinical Medical Laboratory	$6M	$51.4M
Alameda Health System	CA	Federally Qualified Health Center (FQHC)	$0	$32.8M
Predicine, Inc.	CA	Clinical Medical Laboratory	$601.3K	$12.3M
Qaiser Niaz	CA	Hematology & Oncology Physician	$1.9M	$0
Rock Liu	CA	Surgery Physician	$77.7K	$0
Jeffrey Yeoh	CA	Certified Registered Nurse Anesthetist	$61.5K	$0
Hans Han	CA	Physician Assistant	$36.2K	$0

Rishi Kapila — Billing Profile & Reimbursement Data

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Rishi Kapila — 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