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

Why is the Medicaid comparison limited to New York 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. New York (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.

Sandip Kapur (NPI 1891709804)

Field	Value
Entity Type	Individual
Organization	Sandip Kapur
Address	525 E 68th St
City	New York
State	NY
ZIP	10021
Taxonomy	Transplant Surgery Physician
NPI Enumerated	July 27, 2006

Payer Source	Total Paid
Medicare	$72K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
50360	The provider transplants a kidney and ureter from a cadaver or living donor into a recipient. The provider does not remove a kidney (nephrectomy) from the recipient.	20	$2,330	$51.2K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	50	$140	$7.2K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	30	$190	$6.5K
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…	50	$110	$5.1K
50325	The provider makes a donor kidney, from a living donor, ready for transplantation through a standard back table preparation.	20	$80	$2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Sandip Kapur — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
50360	14	40	20	$1,820	$38.3K
99214	21,228	30,450	90	$100	$19K
99215	3,107	8,280	40	$140	$10.1K
99205	1,509	4,260	30	$180	$6.4K
50325	1	10	20	$80	$1.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ruben Niesvizky	NY	Hematology & Oncology Physician	$3.1M	$12.4K
Szilard Kiss	NY	Retina Specialist (Ophthalmology) Physician	$2.1M	$910.2K
Roger Pearse	NY	Medical Oncology Physician	$2.2M	$1.6K
Herrick Wun	NY	Vascular Surgery Physician	$220K	$1.4M
Anna Pavlick	NY	Hematology & Oncology Physician	$1.1M	$2.3K
Peter Okin	NY	Cardiovascular Disease Physician	$322.8K	$576.7K
Cara Rosenbaum	IL	Hematology & Oncology Physician	$851K	$16.3K
Kira Minkis	NY	MOHS-Micrographic Surgery Physician	$855.7K	$0
Elcin Zan	NY	Nuclear Imaging & Therapy Physician	$842.2K	$1.1K
Denise Abselet	NY	Internal Medicine Physician	$731.2K	$8.5K

Sandip Kapur — Billing Profile & Reimbursement Data

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Sandip Kapur — 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

Frequently Asked Questions

References