Michelle Kapon MD LLC

Michelle Kapon MD LLC was paid $551K by Medicaid between Jan 2018 and Feb 2021, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.

33Billing provider infoMICHELLE KAPON MD LLC
YOUNGSTOWN, OH 44505

33aNPI1891049862assigned 10/30/2012

33bProvider typeObstetrics & Gynecology Physician

28Total paid$551K

24GClaims18,513

24DCodes billed38

24AFirst – last monthJan 2018 – Feb 2021

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Ohio

Rank by total paid#35 of 204

Median peer was paid$47K

This provider vs. median12×

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	6,340	$193K
2019	7,116	$197K
2020	4,600	$152K
2021	457	$9K

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	39%	4,846	3,831	$215K
90460	Immunization administration through 18 years of age via any route, first or only component	16%	2,362	2,239	$88K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	13%	1,457	1,336	$74K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	8.9%	883	853	$49K
99460		5.8%	452	428	$32K
99238	Hospital discharge day management, 30 minutes or less	3.1%	647	622	$17K
87660		1.9%	621	601	$11K
87480		1.9%	614	596	$10K
87510		1.9%	614	596	$10K
76801		1.5%	124	109	$8K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.3%	278	266	$7K
59514		1.2%	28	27	$7K

26 more codes

99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	96	$5K
54150		<1%	93	$4K
90633		<1%	490	$4K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	189	$3K
90686		<1%	215	$1K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	<1%	13	$1K
90670		<1%	900	$703.15
90715		<1%	34	$680.32
90658		<1%	176	$553.07
90680		<1%	524	$415.42
90713		<1%	124	$385.35
90700		<1%	267	$384.45
90698		<1%	689	$307.86
90744		<1%	541	$211.11
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	12	$155.32
81002		<1%	61	$146.33
90685		<1%	302	$121.08
90648		<1%	206	$109.83
90723		<1%	63	$79.80
81025		<1%	12	$75.09
90710		<1%	190	$45.45
90707		<1%	66	$20.00
90716		<1%	69	$20.00
90657		<1%	62	$10.00
90461		0%	180	$0.00
90696		0%	13	$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 officialKAPON, MICHELLE (OWNER)