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NPI 1962679498 · Elgin, IL · Ophthalmology Physician
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Rashmi Kapur is a ophthalmology physician provider located in Elgin, Illinois. This profile covers 15 Medicare and 11 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 | Rashmi Kapur |
| Address | 1530 N Randall Rd Ste 202 |
| City | Elgin |
| State | IL |
| ZIP | 60123 |
| Taxonomy | Ophthalmology Physician |
| NPI Enumerated | May 14, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.6M |
| Medicaid | $1.1M |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
15 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 1,260 | $690 | $870.8K |
| J2777 | Injection, faricimab‑svoa, 0.1 mg | 8,100 | $30 | $234.9K |
| 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… | 1,840 | $90 | $172.5K |
| 67028 | The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye. | 1,500 | $90 | $133.8K |
| 92134 | The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes. | 2,350 | $30 | $72.7K |
| J9035 | Injection, bevacizumab, 10 mg | 650 | $60 | $35.8K |
| 92235 | The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken… | 220 | $110 | $23.7K |
| 92202 | The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece… | 1,440 | $10 | $17.3K |
| 92250 | Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,… | 370 | $30 | $10.1K |
| 99204 | The provider sees a new 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 provider… | 50 | $120 | $6.5K |
Showing 1–10 of 15
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
15 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J0178 | 41 | 140 | 700 | $690 | $688.4K |
| J2777 | 50 | 90 | 9,180 | $30 | $451K |
| 67028 | 27 | 190 | 400 | $90 | $64.4K |
| 92014 | 1,021 | 1,420 | 130 | $80 | $24.7K |
| J9035 | 17 | 130 | 140 | $60 | $24.6K |
| 99214 | 27 | 18,540 | 110 | $80 | $17.1K |
| 92134 | 40 | 1,080 | 80 | $30 | $9K |
| 99213 | 13,953 | 17,390 | 70 | $60 | $8.8K |
| 92235 | 8 | 90 | 30 | $100 | $8.3K |
| 99204 | 2,512 | 8,580 | 30 | $110 | $5.6K |
Showing 1–10 of 15
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.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 67028 | The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye. | 4,730 | $150 | $724K |
| J9035 | Injection, bevacizumab, 10 mg | 4,430 | $50 | $212.7K |
| 92134 | The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes. | 4,400 | $20 | $66K |
| 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… | 1,800 | $30 | $59.5K |
| 92014 | An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group… | 750 | $30 | $21K |
| 92250 | Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,… | 400 | $30 | $10.7K |
| 92235 | The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken… | 220 | $40 | $8K |
| 92202 | The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece… | 590 | $10 | $3K |
| 99072 | The provider uses items, supplies materials, or requires clinical staff time in excess of what is normally used or provided for an office visit or other nonfacility encounter. These additional items… | 20 | $1 | $50 |
| 2022F | The ophthalmology or optometry provider performs a dilated retinal eye exam in a diabetic patient with evidence of diabetic retinopathy. He interprets the findings and documents them in the patient’s… | 390 | $0 | $0 |
Showing 1–10 of 11
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
11 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 67028 | The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye. | 2 | 120 | 540 | $160 | $166.3K |
| 92014 | An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group… | 489 | 1,230 | 450 | $40 | $54.1K |
| 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… | 1,958 | 14,680 | 300 | $50 | $48.7K |
| J9035 | Injection, bevacizumab, 10 mg | 2 | 80 | 290 | $60 | $43.4K |
| 92250 | Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,… | 97 | 310 | 140 | $30 | $25.5K |
| 92134 | The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes. | 15 | 250 | 510 | $20 | $20.1K |
| 92235 | The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken… | 3 | 10 | 110 | $40 | $8.1K |
| 92202 | The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece… | 11 | 50 | 130 | $10 | $2.4K |
| 99070 | Then provider utilizes items or supplies materials to the patient in excess of what is normally utilized or provided during an encounter. These items might include medical supplies, medications,… | 26 | 50 | 40 | $20 | $1.4K |
| 99072 | The provider uses items, supplies materials, or requires clinical staff time in excess of what is normally used or provided for an office visit or other nonfacility encounter. These additional items… | 218 | 260 | 90 | $1 | $130 |
Showing 1–10 of 11
Other providers in the same ZIP code as Rashmi Kapur, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Ecker Center For Behavioral Health | IL | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $20M |
| A-tec Ambulance Service Inc | IL | Land Ambulance | $3.4M | $8.3M |
| Kenneth Laferle | IL | Audiologist | $8K | $5.8M |
| Vna Health Care | IL | Federally Qualified Health Center (FQHC) | $0 | $5.1M |
| Cranial Technologies, Inc. | IL | Prosthetic/Orthotic Supplier | $0 | $4M |
| Veerpal Singh | IL | Hematology & Oncology Physician | $3.4M | $67.3K |
| Syed Zahir | IL | Hematology & Oncology Physician | $3.1M | $72.4K |
| Suleman Bangash | IL | Dermatology Physician | $3M | $5.2K |
| Rehan Hussain | IL | Ophthalmology Physician | $2.2M | $236K |
| Nexgen Labs Inc | IL | Clinical Medical Laboratory | $204.3K | $2.1M |
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