Dr. Prashant Kapoor, MD
200 1st St Sw, Rochester, MN 55905 • +1-236-555-8695
Medical Education: Accredited U.S. Medical School (Class of 1998)
What This Doctor Actually Performs: CMS Medicare Utilization & Rochester Percentiles
NPI #1487671152 • CBSA Regional • Hematology
Dr. Prashant Kapoor, MD (NPI #1487671152) practices Hematology in Rochester, MN (55905) with sub-specialty concentration in 47 Active CMS HCPCS Codes, recording 10,289 annual CMS services across 145 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (33.33th Rochester percentile) (-0.37σ vs MN state mean, 33.33th statewide percentile).
Procedural volume for Dr. Kapoor is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 126 annual services, $43–$60 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 73/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 36/yr).
Self-pay new patient consultations with Dr. Kapoor (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 17-minute average reception wait, and a 4.51/5 modern protocol openness score across 21 patient logs.
Credentialed as an MD specialist with 28 years post-graduation experience since completing medical school at an LCME/COCA institution (1998), Dr. Kapoor coordinates 47 Active CMS HCPCS Codes workups from 200 1st St Sw (+1-236-555-8695).
Compared against Rochester, MN Hematology peers
10,289 annual services across 145 beneficiaries
Standard deviations from MN Hematology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 126 | 33.33th | $43 – $60 |
| 99213 | Established Preventive & Chronic Care Visit | 73 | 33.33th | $33 – $48 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 36 | 30.33th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 28 | 31.33th | $51 – $70 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 17 | 30.33th | $60 – $83 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (47 HCPCS billing breadth) | 10,010 | 33.33th | $45 – $65 |
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Dr. Prashant Kapoor, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Kapoor National Provider Identifier | NPI #1487671152 (MD) | CMS NPPES Registry (55905) |
| Dr. Kapoor Rochester CMS Volume Rank | 33.33th Pct (10,289 CMS svcs; Z -0.366σ) | CMS Medicare Part B (MN Hematology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Rochester, MN) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 17 min lobby wait | 21 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.96/5 Listening • 4.51/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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