Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Kapadia, Nancy

Kapadia, Nancy was paid $336K by Medicaid between Mar 2021 and Nov 2022, across 10 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 90% of everything it billed.

33Billing provider infoKAPADIA, NANCY
SAN JOSE, CA 95125
33aNPI1366047292assigned 11/30/2020
28Total paid$336K
24GClaims2,624
24DCodes billed10
24AFirst – last monthMar 2021 – Nov 2022
Compared with peers

Next to other Family Nurse Practitioner providers in California

Rank by total paid#16 of 201
Median peer was paid$1K
This provider vs. median289×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20211,420$149K
20221,204$187K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 90% 1,607 1,518 $302K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 4.6% 82 82 $15K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1.8% 80 79 $6K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 1.4% 526 524 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 127 126 $3K
90686 <1% 109 109 $2K
90715 <1% 55 55 $2K
90750 <1% 13 13 $1K
90472 Immunization administration, each additional vaccine (list separately) <1% 13 13 $196.80
91300 0% 12 12 $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.