Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Kapur, Umesh

Kapur, Umesh was paid $122K by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 43% of everything it billed.

33Billing provider infoKAPUR, UMESH
MAYWOOD, IL 60153
33aNPI1831355783assigned 07/30/2008
28Total paid$122K
24GClaims8,558
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Anatomic Pathology & Clinical Pathology Physician providers in Illinois

Rank by total paid#153 of 398
Median peer was paid$66K
This provider vs. median1.9×

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$5.0K$10K2018201920202021202220232024
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
2018199$3K
2019244$7K
2020835$10K
2021994$10K
20222,405$32K
20233,607$49K
2024incomplete274$12K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
88305 Level IV - Surgical pathology, gross and microscopic examination 43% 1,744 1,447 $52K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 18% 619 605 $22K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 13% 706 691 $16K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 10% 246 243 $13K
80053 Comprehensive metabolic panel 4.3% 1,024 989 $5K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3.1% 1,335 1,285 $4K
81025 1.3% 640 618 $2K
83690 1.1% 394 384 $1K
81001 <1% 761 732 $1K
87086 Culture, bacterial; quantitative colony count, urine <1% 192 185 $1K
84484 <1% 196 188 $863.79
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 16 16 $850.00
6 more codes
80048 Basic metabolic panel (calcium, ionized) <1% 193 $794.74
88112 <1% 15 $443.31
87420 <1% 51 $400.35
81003 <1% 346 $374.96
85379 <1% 55 $206.25
84443 Thyroid stimulating hormone (TSH) <1% 25 $205.25

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.