Active NPI 1962679498 Individual Practitioner Female Practitioner

Dr. Rashmi Kapur , MD

Ophthalmology • Elgin, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Rashmi Kapur, MD is a certified Ophthalmology practicing in Elgin, IL. With approximately 23 years of clinical experience since completing medical education in 2003, Dr. Kapur delivers high-quality medical care to the local community at 1530 N RANDALL RD STE 202.

Dr. Kapur is affiliated with Retina Health Institute Sc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, faricimab-svoa, 0.1 mg, imaging of retina, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1530 N Randall Rd Ste 202

Elgin, IL 60123

Telephone 8474881030

Fax 8474880677

Associated Practice Facility / Clinic

🏢 Retina Health Institute Sc Facility NPI 1316488414

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Elgin, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs -6.8 yrs vs City Avg

City Avg: 29.8 Yrs

State Avg: 31.1 Yrs

Regional Practice Density

7 Specialists

Practicing in Elgin, IL (954 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kapur (23 Years) 23 Yrs

Elgin Specialty Average (29.8 Years) 29.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2777 Injection, faricimab-svoa, 0.1 mg	16,681	31	$133.34	$34.51
92134 Imaging of retina	2,354	573	$200.00	$39.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,817	497	$200.00	$129.05
67028 Injection of drug into eye	1,593	201	$394.00	$112.45
J2781 Injection, pegcetacoplan, intravitreal, 1 mg	1,470	12	$553.34	$146.91
92202 Extended exam of the back part of the eye with optic nerve drawing	1,398	506	$50.00	$15.39
J0178 Injection, aflibercept, 1 mg	870	81	$3000.00	$830.29
J9035 Injection, bevacizumab, 10 mg	644	112	$150.00	$72.16
92250 Photography of the retina	453	290	$145.00	$34.60
92235 Exam of retinal blood vessels using a special camera after injection of a dye	227	175	$275.00	$156.47
76512 Ultrasound of eye disease, growth, or structure	132	82	$260.00	$49.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	89	89	$300.00	$169.35
J3590 Unclassified biologics	68	46	$5514.71	$1686.54
92201 Extended exam of the back part of the eye with retinal drawing	50	43	$50.00	$24.82
99442 Telephone medical discussion with physician, 11-20 minutes	30	25	$150.00	$95.67
99213 Established patient office or other outpatient visit, typically 15 minutes	29	28	$130.00	$91.48
92014 Established patient complete exam of visual system	29	29	$195.00	$122.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2777 Injection, faricimab-svoa, 0.1 mg	8,100	15	$133.34	$36.45
92134 Imaging of retina	2,345	595	$199.53	$40.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,835	526	$199.63	$129.05
67028 Injection of drug into eye	1,503	198	$393.81	$113.23
92202 Extended exam of the back part of the eye with optic nerve drawing	1,443	522	$50.00	$15.58
J0178 Injection, aflibercept, 1 mg	1,262	94	$3000.00	$870.61
J9035 Injection, bevacizumab, 10 mg	650	105	$150.00	$70.16
92250 Photography of the retina	373	249	$144.80	$35.20
92235 Exam of retinal blood vessels using a special camera after injection of a dye	217	161	$274.15	$137.21
76512 Ultrasound of eye disease, growth, or structure	142	79	$274.65	$50.36
92201 Extended exam of the back part of the eye with retinal drawing	63	45	$50.00	$24.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$300.00	$168.40
92014 Established patient complete exam of visual system	45	41	$195.00	$125.84
99442 Telephone medical discussion with physician, 11-20 minutes	31	30	$150.00	$91.86
99213 Established patient office or other outpatient visit, typically 15 minutes	26	24	$130.00	$91.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	2,595	625	$199.58	$41.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,993	574	$199.70	$133.19
J0178 Injection, aflibercept, 1 mg	1,794	115	$2996.66	$902.52
67028 Injection of drug into eye	1,739	227	$394.35	$117.00
92202 Extended exam of the back part of the eye with optic nerve drawing	947	479	$50.00	$16.10
J9035 Injection, bevacizumab, 10 mg	736	117	$150.00	$67.48
92250 Photography of the retina	369	223	$144.80	$37.02
92235 Exam of retinal blood vessels using a special camera after injection of a dye	183	131	$273.99	$132.56
76512 Ultrasound of eye disease, growth, or structure	141	81	$276.60	$52.93
92201 Extended exam of the back part of the eye with retinal drawing	54	39	$50.00	$25.77
99442 Telephone medical discussion with physician, 11-20 minutes	52	46	$150.00	$96.41
92014 Established patient complete exam of visual system	49	48	$195.00	$129.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$300.00	$178.03
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	30	11	$2725.00	$353.99
99213 Established patient office or other outpatient visit, typically 15 minutes	30	29	$130.00	$94.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	3,142	732	$199.80	$42.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,462	639	$199.83	$136.37
67028 Injection of drug into eye	2,196	271	$396.33	$119.36
J0178 Injection, aflibercept, 1 mg	1,944	118	$3000.00	$918.47
J9035 Injection, bevacizumab, 10 mg	1,103	222	$150.00	$72.42
92250 Photography of the retina	422	282	$145.17	$38.58
92235 Exam of retinal blood vessels using a special camera after injection of a dye	289	215	$275.31	$125.25
76512 Ultrasound of eye disease, growth, or structure	164	95	$279.02	$54.93
99442 Telephone medical discussion with physician, 11-20 minutes	121	108	$150.00	$98.79
92201 Extended exam of the back part of the eye with retinal drawing	119	80	$50.00	$26.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	113	113	$300.00	$179.16
99213 Established patient office or other outpatient visit, typically 15 minutes	69	64	$130.00	$96.60
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	61	20	$2725.00	$362.53
92014 Established patient complete exam of visual system	59	55	$195.00	$132.45
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	54	54	$45.00	$24.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	2,880	719	$199.73	$42.13
67028 Injection of drug into eye	1,980	279	$399.17	$106.05
J0178 Injection, aflibercept, 1 mg	1,768	111	$3000.00	$931.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,276	426	$199.60	$113.45
J9035 Injection, bevacizumab, 10 mg	1,032	191	$150.00	$78.14
92014 Established patient complete exam of visual system	934	412	$195.00	$130.12
92250 Photography of the retina	381	265	$144.61	$43.87
92235 Exam of retinal blood vessels using a special camera after injection of a dye	255	204	$273.56	$108.00
76512 Ultrasound of eye disease, growth, or structure	148	92	$274.05	$55.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	134	134	$300.00	$172.33
99213 Established patient office or other outpatient visit, typically 15 minutes	131	108	$130.00	$77.60
92201 Extended exam of the back part of the eye with retinal drawing	95	71	$50.00	$26.44
99442 Telephone medical discussion with physician, 11-20 minutes	59	49	$146.61	$79.13
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	58	19	$2725.00	$356.85
92004 New patient complete exam of visual system	17	17	$258.68	$156.78
99443 Telephone medical discussion with physician, 21-30 minutes	14	11	$200.00	$115.97
67113 Complex repair of detached retina and drainage of eye fluid between lens and retina	12	11	$4500.00	$1373.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	2,728	646	$199.48	$40.51
J3300 Injection, triamcinolone acetonide, preservative free, 1 mg	2,283	15	$15.13	$3.60
67028 Injection of drug into eye	1,965	280	$393.44	$101.81
J0178 Injection, aflibercept, 1 mg	1,820	120	$2993.41	$896.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,099	386	$199.69	$108.09
J9035 Injection, bevacizumab, 10 mg	946	187	$121.95	$75.94
92014 Established patient complete exam of visual system	835	363	$194.77	$124.87
92250 Photography of the retina	393	271	$144.81	$46.93
92235 Exam of retinal blood vessels using a special camera after injection of a dye	246	214	$274.25	$90.96
99213 Established patient office or other outpatient visit, typically 15 minutes	140	105	$130.00	$73.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	134	134	$300.00	$163.21
76512 Ultrasound of eye disease, growth, or structure	127	77	$270.24	$62.76
92225 Examination of eye by ophthalmoscope with retinal drawing	75	72	$72.67	$50.00
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	57	19	$2725.00	$340.17
92226 Examination of eye by ophthalmoscope with retinal drawing	36	25	$65.00	$44.06
92004 New patient complete exam of visual system	21	21	$265.00	$150.74
67108 Repair of detached retina and drainage of eye fluid between lens and retina	11	11	$4655.00	$1179.02
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	11	11	$2600.00	$1163.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	2,695	604	$199.71	$40.45
J3300 Injection, triamcinolone acetonide, preservative free, 1 mg	2,567	20	$15.13	$3.79
67028 Injection of drug into eye	1,638	251	$395.40	$100.52
J0178 Injection, aflibercept, 1 mg	1,532	115	$3000.00	$951.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,060	385	$199.92	$105.35
J9035 Injection, bevacizumab, 10 mg	774	168	$100.00	$76.59
92014 Established patient complete exam of visual system	752	326	$194.91	$122.83
92250 Photography of the retina	272	204	$144.72	$51.07
92235 Exam of retinal blood vessels using a special camera after injection of a dye	225	181	$274.18	$85.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	181	181	$299.31	$162.08
99213 Established patient office or other outpatient visit, typically 15 minutes	117	97	$129.55	$71.55
76512 Ultrasound of eye disease, growth, or structure	95	68	$265.47	$83.62
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	53	20	$2725.00	$342.26
92225 Examination of eye by ophthalmoscope with retinal drawing	35	35	$51.43	$47.95
92004 New patient complete exam of visual system	34	34	$265.00	$146.74
92012 Established patient problem focused exam of visual system	19	19	$362.32	$83.61
67145 Photocoagulation treatment to prevent detachment of retina	16	16	$1285.00	$522.26
92226 Examination of eye by ophthalmoscope with retinal drawing	13	12	$49.23	$40.21
67108 Repair of detached retina and drainage of eye fluid between lens and retina	11	11	$4655.00	$1208.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	2,167	657	$200.00	$39.89
J3300 Injection, triamcinolone acetonide, preservative free, 1 mg	1,172	13	$105.29	$3.81
67028 Injection of drug into eye	1,052	239	$394.37	$100.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	922	395	$200.00	$105.18
J0178 Injection, aflibercept, 1 mg	736	78	$2580.16	$962.20
J9035 Injection, bevacizumab, 10 mg	600	179	$100.00	$72.94
92014 Established patient complete exam of visual system	510	287	$195.00	$120.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	236	236	$300.00	$161.66
92250 Photography of the retina	183	165	$145.00	$65.51
92235 Exam of retinal blood vessels using a special camera after injection of a dye	173	160	$275.00	$77.26
76512 Ultrasound of eye disease, growth, or structure	76	57	$266.84	$91.31
92004 New patient complete exam of visual system	62	62	$265.00	$142.89
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	60	22	$2725.00	$344.02
99213 Established patient office or other outpatient visit, typically 15 minutes	52	46	$130.00	$71.86
92012 Established patient problem focused exam of visual system	16	16	$289.72	$84.28
67036 Removal of eye fluid (vitreous) between the lens and retina	11	11	$2520.00	$882.46

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License IL 036128045

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License WI 53157

Hospital & Practice Group Affiliations

Retina Health Institute Sc

1530 N Randall Rd, Elgin, IL 601237879

Phone: 7738161722

Secondary Practice Locations

2454 E Dempster St, Suite 400

Des Plaines, IL 600165315

Phone: 8472990700

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Rehan Hussain , MD

Ophthalmology

NPI 1922340066

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location October 18, 2018

Registered at 1530 N RANDALL RD STE 202, ELGIN, IL 60123 (Tel: 8474881030)

📍

Updated Business Mailing Address October 18, 2018

Registered at 1530 N RANDALL RD STE 202, ELGIN, IL 601237879 (Tel: 8474881030)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2018

Ophthalmology (License #036128045 in IL)

✅

NPI Profile Active August 12, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location August 12, 2011

Registered at 2454 E DEMPSTER ST, SUITE 400, DES PLAINES, IL 600165315 (Tel: 8472990700)

📍

Updated Business Mailing Address August 12, 2011

Registered at 2454 E DEMPSTER ST, SUITE 400, DES PLAINES, IL 600165315 (Tel: 8472990700)

👤

Provider Name / Credentials Updated August 12, 2011

Recorded as RASHMI KAPUR, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2011

Ophthalmology (License #53157 in WI)

🟢

Initial NPI Registration & Enumeration May 14, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962679498

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 14, 2008

Last Update: October 18, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1530 N Randall Rd Ste 202

Elgin, IL 601237879

Phone: 8474881030

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.