Physician
Kapur, Vikram
Kapur, Vikram was paid $753K by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 84% of everything it billed.
33Billing provider infoKAPUR, VIKRAM
AVONDALE, AZ 85392
AVONDALE, AZ 85392
33aNPI1063466647assigned 05/19/2006
33bProvider typeInternal Medicine Physician
28Total paid$753K
24GClaims13,967
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Arizona
Rank by total paid#72 of 395
Median peer was paid$68K
This provider vs. median11×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,290 | $74K | |
| 2019 | 1,600 | $72K | |
| 2020 | 1,578 | $89K | |
| 2021 | 2,019 | $116K | |
| 2022 | 2,767 | $158K | |
| 2023 | 2,737 | $154K | |
| 2024incomplete | 1,976 | $91K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 84% | 10,188 | 7,804 | $630K |
| 99401 | 6.0% | 1,541 | 1,421 | $46K | |
| 99497 | 4.5% | 618 | 586 | $34K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.8% | 185 | 175 | $14K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.5% | 131 | 128 | $11K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.3% | 129 | 119 | $10K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 54 | 53 | $5K |
| 96160 | <1% | 770 | 738 | $2K | |
| 90674 | <1% | 39 | 36 | $747.26 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 38 | 35 | $729.30 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 69 | 49 | $309.72 |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 14 | 12 | $121.48 |
10 more codes
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 49 | $19.47 |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | <1% | 17 | $12.40 |
| 1003F | 0% | 17 | $0.00 | |
| 1090F | 0% | 16 | $0.00 | |
| 1159F | 0% | 14 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 15 | $0.00 |
| 1125F | 0% | 12 | $0.00 | |
| 1101F | 0% | 16 | $0.00 | |
| 1170F | 0% | 17 | $0.00 | |
| 1220F | 0% | 18 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.