Physician
Kapoor, Anil
Kapoor, Anil was paid $268K by Medicaid between Jan 2018 and Feb 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoKAPOOR, ANIL
ELMHURST, NY 11373
ELMHURST, NY 11373
33aNPI1427070853assigned 07/24/2006
33bProvider typeNeurology Physician
28Total paid$268K
24GClaims6,371
24DCodes billed13
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other Neurology Physician providers in New York
Rank by total paid#75 of 623
Median peer was paid$9K
This provider vs. median29×
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 | 216 | $10K | |
| 2019 | 836 | $28K | |
| 2020 | 1,225 | $60K | |
| 2021 | 1,027 | $50K | |
| 2022 | 1,257 | $52K | |
| 2023 | 1,700 | $64K | |
| 2024incomplete | 110 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 38% | 2,543 | 2,498 | $103K |
| 95816 | 32% | 1,597 | 1,426 | $85K | |
| 99222 | Initial hospital care, per day, moderate complexity | 8.3% | 614 | 602 | $22K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.0% | 811 | 469 | $16K |
| 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 | 4.9% | 173 | 168 | $13K |
| 95911 | 4.2% | 94 | 92 | $11K | |
| 95886 | 2.8% | 154 | 150 | $8K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 2.4% | 67 | 67 | $7K |
| 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 | <1% | 40 | 40 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 14 | 14 | $2K |
| 99223 | Prolong inpt eval add15 m | <1% | 14 | 13 | $421.24 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 183 | 181 | $0.00 |
1 more codes
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 67 | $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.