Physician

Aida Pilar Capo, MD

According to 2025 Medicare claims, Aida Capo, MD (NPI: 1235239369) practices pulmonary disease in the New York-Jersey City-White Plains, NY-NJ market, with the plurality of this provider's patient population coming from Hudson, NJ. This provider's primary affiliated billing organization is HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC (NPI: 1215989249; TIN: 223376459) and primary practice location at 07047-6217.

Capo's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 478 traditional Medicare patients, billed 2,155 HCPCS/CPT codes, and received $159,014 in Medicare payments. The top billing code was 99222 (Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes). Part D data shows 4,643 prescription claims across 433 beneficiaries totaling $701,585 in drug costs, led by Prolastin C (Alpha-1-Proteinase Inhibitor). DME data shows 401 claims. Open Payments data shows 70 records totaling $1,353. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved from a lower plateau to a higher plateau, from $271,376 to $701,585. In contrast, DME billing represents a smaller volume and declined steadily, from $89,889 to $35,906.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	437	2,409	$155,029
2016	609	3,031	$205,961
2017	796	4,309	$287,604
2018	751	3,403	$219,991
2019	692	2,583	$178,620
2020	509	2,127	$145,241
2021	435	2,049	$143,877
2022	466	2,465	$163,346
2023	466	2,055	$151,886
2024	478	2,155	$159,014

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	253	1,509	$271,376
2016	317	1,780	$338,480
2017	320	2,001	$555,876
2018	390	1,978	$682,687
2019	447	2,999	$597,546
2020	282	2,150	$594,964
2021	224	2,164	$423,118
2022	308	2,529	$743,606
2023	395	3,264	$518,209
2024	433	4,643	$701,585

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	155	948	$126,732
2016	116	823	$88,230
2017	131	875	$85,107
2018	112	769	$103,385
2019	182	982	$88,034
2020	107	876	$98,665
2021	49	515	$68,525
2022	85	522	$51,381
2023	111	692	$71,254
2024	29	401	$33,526

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	231	274	$108
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	163	$103
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	291	1,319	$69
94729	Test to examine how well the lungs exchange gases	74	74	$52
94727	Test to determine lung volumes using gas dilution or washout	77	77	$41

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Prolastin C	Alpha-1-Proteinase Inhibitor	13	343	$124,938
Dupixent Pen	Dupilumab	23	728	$101,426
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	152	4,678	$98,206
Breo Ellipta	Fluticasone/Vilanterol	73	2,250	$28,140
Combivent Respimat	Ipratropium/Albuterol Sulfate	56	1,680	$26,752

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	Y	N/R	18	$18,191
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	43	$2,722
B4154	Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	N	N/R	13	$2,604
J7605	Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms	N	N/R	33	$2,215
J7626	Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg	N	N/R	33	$1,863

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	70	$1,353	Mylan Specialty L.P.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Aida Pilar Capo, MD?

Tedicare shows public-source Medicare data for Aida Pilar Capo, MD (NPI 1235239369), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Aida Pilar Capo, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Aida Pilar Capo, MD?

Aida Pilar Capo, MD is linked to HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC (billing NPI 1215989249) in the available physician profile data.

Does Aida Pilar Capo, MD have Open Payments data?

Aida Pilar Capo, MD has 70 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.