Vishwa Kapoor,m.D. INC

Vishwa Kapoor,m.D. INC was paid $4.78M by Medicaid between Jan 2018 and Nov 2024, across 70 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.

33Billing provider infoVISHWA KAPOOR,M.D. INC
EL CENTRO, CA 92243

33aNPI1497026439assigned 01/23/2012

33bProvider typePediatric Hematology & Oncology Physician

28Total paid$4.78M

24GClaims177,538

24DCodes billed70

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pediatric Hematology & Oncology Physician providers in California

Rank by total paid#2 of 17

Median peer was paid$106K

This provider vs. median45×

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	23,470	$482K
2019	23,853	$557K
2020	21,063	$529K
2021	27,333	$1.07M
2022	35,834	$932K
2023	38,277	$919K
2024incomplete	7,708	$289K

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	54%	49,089	34,351	$2.56M
96110	Developmental screening, with scoring and documentation, per standardized instrument	5.8%	4,584	4,289	$279K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	4.4%	3,697	3,685	$212K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	3.9%	3,875	3,720	$187K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	3.5%	9,719	7,055	$166K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	3.2%	2,849	2,596	$151K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	3.0%	2,174	2,163	$145K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	2.5%	3,613	3,392	$119K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.4%	2,656	2,414	$114K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.1%	3,787	3,467	$102K
92552		2.1%	6,904	6,848	$98K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.9%	1,452	1,422	$91K

58 more codes

Q3014	Telehealth originating site facility fee	1.2%	2,922	$56K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.2%	6,410	$55K
96156		<1%	510	$42K
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	8,294	$41K
92081		<1%	1,824	$39K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	2,575	$30K
90686		<1%	3,753	$29K
90670		<1%	2,871	$23K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	2,482	$17K
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	3,064	$16K
G9920	Screening performed and negative	<1%	366	$14K
90698		<1%	1,612	$13K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	<1%	880	$13K
90633		<1%	1,685	$12K
90651		<1%	1,432	$11K
90680		<1%	1,373	$11K
0241U	Neonatal screening for hereditary disorders, genomic sequence analysis panel	<1%	74	$11K
99173		<1%	3,152	$10K
86580		<1%	3,591	$10K
90744		<1%	1,126	$9K
90715		<1%	1,016	$7K
85018		<1%	4,391	$7K
90710		<1%	872	$7K
83655		<1%	751	$6K
99188		<1%	421	$6K
87807		<1%	727	$6K
90696		<1%	707	$5K
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	<1%	116	$5K
90734		<1%	711	$5K
90697		<1%	559	$5K
81002		<1%	2,527	$4K
90700		<1%	456	$3K
90716		<1%	431	$3K
90707		<1%	355	$3K
96127		<1%	444	$2K
90688		<1%	238	$2K
99000		<1%	1,379	$2K
90655		<1%	241	$2K
90619		<1%	244	$2K
94760		<1%	15,706	$1K
90647		<1%	168	$1K
90621		<1%	169	$1K
90648		<1%	120	$846.00
96151		<1%	32	$557.91
90677		<1%	76	$548.88
0072A		<1%	15	$385.00
0001A		<1%	14	$290.00
G0444	Annual depression screening, 5 to 15 minutes	<1%	16	$210.08
G0445	High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes	<1%	55	$171.63
J2920	Injection, methylprednisolone sodium succinate, up to 40 mg	<1%	18	$164.18
90620		<1%	17	$137.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	33	$128.29
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	19	$100.26
0002A		<1%	12	$75.00
81000		<1%	33	$74.56
J2405	Injection, ondansetron hydrochloride, per 1 mg	<1%	13	$40.86
G9930	Patients who are receiving comfort care only	0%	26	$0.00
S9451	Exercise classes, non-physician provider, per session	0%	15	$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.

From NPPES

Who's on the registration

Authorized officialKAPOOR, VISHWA (CEO)