Physician

Ajoy Kapoor, MD

According to 2025 Medicare claims, Ajoy Kapoor, MD (NPI: 1952335226) practices critical care (intensivists) in the Pittsburgh, PA market, with the plurality of this provider's patient population coming from Westmoreland, PA. This provider's primary affiliated billing organization is EXCELA HEALTH PHYSICIAN PRACTICES, INC. (NPI: 1861766578; TIN: 25-1744392) and primary practice location at 15601-2239. Kapoor is affiliated with the Physician Partners of Western PA LLC (ACO ID: A3547) and Bridges Health Partners Accountable Care Organization (ACO ID: A3919), participating under the MSSP model.

Kapoor's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 75 traditional Medicare patients, billed 221 HCPCS/CPT codes, and received $29,566 in Medicare payments. The top billing code was 99291 (Critical care, first 30-74 minutes). Part D data shows 52 prescription claims across 15 beneficiaries totaling $3,081 in drug costs. No Open Payments records. 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 has moved from a higher plateau to a lower plateau, from $60,583 to $29,566. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $669 and ending at $3,081. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$30K$61K2015 Medicare payment: $60,583 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $59,423 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $42,880 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $41,008 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $39,483 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $31,332 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $30,409 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $30,226 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $29,443 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $29,566 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015170443$60,583
2016147415$59,423
2017137302$42,880
2018121296$41,008
2019129280$39,483
202074192$31,332
202194197$30,409
202279208$30,226
202379214$29,443
202475221$29,566

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$6.2K$12K2015 Drug cost: $669 (USD; Tot_Drug_Cst)2016 Drug cost: $1,432 (USD; Tot_Drug_Cst)2019 Drug cost: $3,242 (USD; Tot_Drug_Cst)2020 Drug cost: $9,016 (USD; Tot_Drug_Cst)2021 Drug cost: $12,308 (USD; Tot_Drug_Cst)2022 Drug cost: $697 (USD; Tot_Drug_Cst)2023 Drug cost: $6,860 (USD; Tot_Drug_Cst)2024 Drug cost: $3,081 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151124$669
2016N/R22$1,432
2017N/RN/RN/R
2018N/RN/RN/R
2019N/R40$3,242
20201461$9,016
20211144$12,308
2022N/R34$697
20231332$6,860
20241552$3,081

DME Billing Trend

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

No connected DME records

No connected DME records

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

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99291Critical care, first 30-74 minutes65149$159
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3142$89

Top 5 Part D drugs in 2024

By total drug costs.

Part D summary data is connected for 2024, but public drug-level costs are not available, so a Top 5 by total drug costs cannot be shown.

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Ajoy Kapoor, MD?

Tedicare shows public-source Medicare data for Ajoy Kapoor, MD (NPI 1952335226), 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 Ajoy Kapoor, MD have ACO affiliation data?

Ajoy Kapoor, MD is shown with ACO affiliation data for Physician Partners of Western PA LLC (MSSP, ACO ID A3547) and Bridges Health Partners Accountable Care Organization (MSSP, ACO ID A3919).

What billing organization is linked to Ajoy Kapoor, MD?

Ajoy Kapoor, MD is linked to EXCELA HEALTH PHYSICIAN PRACTICES, INC. (billing NPI 1861766578) in the available physician profile data.

Does Ajoy Kapoor, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.