Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Kapadia, Narendrakumar

Kapadia, Narendrakumar was paid $18K by Medicaid between Jan 2018 and Jun 2020, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 95% of everything it billed.

33Billing provider infoKAPADIA, NARENDRAKUMAR
GURNEE, IL 60031
33aNPI1457307118assigned 05/25/2006
33bProvider typeSpecialist
28Total paid$18K
24GClaims759
24DCodes billed4
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers

Next to other Specialist providers in Illinois

Rank by total paid#153 of 273
Median peer was paid$32K
This provider vs. median0.6×

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$500$1.0K$1.5K2018201920202021202220232024
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
2018371$9K
2019347$8K
202041$977.50
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 95% 686 517 $17K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 2.0% 16 12 $361.95
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.4% 16 16 $250.07
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.3% 41 25 $237.66

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.