Active NPI 1326016320 Individual Practitioner Male Practitioner

Dr. Kapil Kwatra , MD

Internal Medicine • Warren, OH

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Kapil Kwatra, MD is a certified Internal Medicine practicing in Warren, OH. With approximately 45 years of clinical experience since completing medical education in 1981, Dr. Kwatra delivers high-quality medical care to the local community at 9371, EAST MARKET STREET, SUITE #1A.

Dr. Kwatra accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit, remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver;. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9371, East Market Street, Suite #1a

Warren, OH 44484

Telephone 3306095277

Fax 3306095294

Associated Practice Facility / Clinic

🏢 Medical Associates Of Warren, Inc. Facility NPI 1649450032

Medicare Profile & Education

Medical School

Other

Graduation Year

1981

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Warren, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

45 Yrs +16.8 yrs vs City Avg

City Avg: 28.2 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

45 Specialists

Practicing in Warren, OH (5516 Statewide)

Telehealth Adoption Rate

13.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

26.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kwatra (45 Years) 45 Yrs

Warren Specialty Average (28.2 Years) 28.2 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
J1010 Injection, methylprednisolone acetate, 1 mg	2,322	34	$1.02	$0.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,291	408	$140.00	$121.01
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	1,173	189	$69.45	$36.74
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	1,041	172	$88.64	$45.03
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	1,031	207	$85.68	$44.96
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	931	189	$112.18	$58.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	899	206	$87.60	$74.72
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	580	111	$114.19	$101.76
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	569	151	$81.18	$42.38
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	506	158	$136.13	$111.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	364	259	$244.80	$161.81
99238 Hospital discharge day management, 30 minutes or less	348	255	$86.40	$76.34
G0442 Annual alcohol misuse screening, 5 to 15 minutes	340	340	$25.00	$17.47
G0444 Annual depression screening, 5 to 15 minutes	330	330	$25.00	$17.47
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	327	327	$175.00	$122.07
81003 Automated urinalysis test	317	268	$18.00	$2.20
83036 Hemoglobin A1C level	278	127	$24.00	$9.46
93000 Routine ekg using at least 12 leads including interpretation and report	255	228	$48.00	$13.41
99213 Established patient office or other outpatient visit, typically 15 minutes	241	167	$90.00	$82.02
G0008 Administration of influenza virus vaccine	174	173	$25.95	$25.43
90653 Vaccine for influenza for injection into muscle	165	165	$100.00	$81.82
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	149	107	$189.60	$169.86
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	149	146	$34.38	$17.92
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	138	66	$138.98	$136.75
82962 Blood glucose (sugar) test performed by hand-held instrument	129	85	$18.00	$3.21
85610 Blood test, clotting time	109	14	$18.00	$4.20
99306 Initial nursing facility visit, typically 45 minutes per day	95	81	$160.32	$157.84
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	82	40	$28.73	$13.34
82043 Urine microalbumin (protein) level	73	71	$24.00	$5.66
82570 Creatinine level to test for kidney function or muscle injury	72	70	$38.40	$5.08
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	53	17	$15.00	$1.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	16	$60.00	$52.60
99315 Nursing facility discharge day management, 30 minutes or less	52	46	$112.80	$77.09
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	51	41	$66.00	$50.06
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	45	23	$50.40	$38.92
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	40	11	$13.80	$0.95
80053 Blood test, comprehensive group of blood chemicals	33	22	$24.00	$10.35
36415 Insertion of needle into vein for collection of blood sample	33	22	$3.10	$3.04
99496 Transitional care management services for problem of high complexity	30	26	$191.74	$188.77
20610 Aspiration and/or injection of fluid from large joint	28	25	$102.15	$61.24
99495 Transitional care management services for problem of at least moderate complexity	23	22	$171.00	$168.26
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	19	16	$85.91	$70.16
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	19	18	$50.00	$34.62
J1030 Injection, methylprednisolone acetate, 40 mg	16	12	$37.60	$6.33
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$181.20	$144.63
99234 Hospital observation or inpatient care low severity, 40 minutes per day	11	11	$181.72	$92.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$216.00	$158.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,274	415	$139.98	$121.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,175	215	$87.60	$76.44
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	670	119	$114.19	$102.14
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	585	119	$136.13	$114.81
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	366	250	$244.80	$166.42
G0442 Annual alcohol misuse screening, 5 to 15 minutes	341	341	$25.00	$17.19
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	340	340	$175.00	$122.52
99238 Hospital discharge day management, 30 minutes or less	338	242	$86.40	$77.44
G0444 Annual depression screening, 5 to 15 minutes	333	333	$25.00	$17.24
81003 Automated urinalysis test	304	270	$18.00	$2.19
83036 Hemoglobin A1C level	293	119	$24.00	$9.47
99213 Established patient office or other outpatient visit, typically 15 minutes	285	170	$89.99	$83.97
93000 Routine ekg using at least 12 leads including interpretation and report	277	247	$48.00	$13.69
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	226	161	$189.60	$170.18
82962 Blood glucose (sugar) test performed by hand-held instrument	221	104	$18.00	$3.20
G0008 Administration of influenza virus vaccine	154	153	$25.00	$24.50
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	151	151	$75.71	$71.26
99306 Initial nursing facility visit, typically 45 minutes per day	91	83	$160.32	$157.75
85610 Blood test, clotting time	80	11	$18.00	$4.20
82570 Creatinine level to test for kidney function or muscle injury	77	73	$38.40	$5.02
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	59	30	$57.52	$13.34
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	51	39	$66.00	$49.31
99315 Nursing facility discharge day management, 30 minutes or less	46	45	$112.80	$78.23
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	45	16	$15.00	$1.52
99496 Transitional care management services for problem of high complexity	41	36	$191.74	$188.55
82044 Urine microalbumin (protein) analysis	40	39	$24.00	$6.11
80053 Blood test, comprehensive group of blood chemicals	39	28	$24.00	$10.35
36415 Insertion of needle into vein for collection of blood sample	38	28	$3.10	$3.04
J1030 Injection, methylprednisolone acetate, 40 mg	37	20	$37.60	$7.42
82043 Urine microalbumin (protein) level	37	36	$24.00	$5.52
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	31	19	$50.40	$38.95
20610 Aspiration and/or injection of fluid from large joint	23	15	$102.15	$60.40
99495 Transitional care management services for problem of at least moderate complexity	22	19	$171.00	$168.26
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	20	17	$50.00	$34.62
J1040 Injection, methylprednisolone acetate, 80 mg	16	15	$57.60	$12.37
99234 Hospital observation or inpatient care low severity, 40 minutes per day	12	12	$181.72	$95.58
69209 Removal of impacted ear wax by washing	12	12	$75.00	$14.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,554	178	$87.70	$69.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,438	454	$130.19	$121.74
99213 Established patient office or other outpatient visit, typically 15 minutes	402	237	$83.53	$76.11
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	366	66	$107.29	$87.18
G0442 Annual alcohol misuse screening, 5 to 15 minutes	329	329	$25.00	$17.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	324	324	$174.77	$125.72
G0444 Annual depression screening, 5 to 15 minutes	313	313	$25.00	$17.44
83036 Hemoglobin A1C level	312	129	$23.97	$9.59
81003 Automated urinalysis test	305	276	$17.96	$2.22
82962 Blood glucose (sugar) test performed by hand-held instrument	279	117	$17.95	$3.24
93000 Routine ekg using at least 12 leads including interpretation and report	266	246	$48.00	$13.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	247	166	$245.00	$192.41
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	200	148	$189.60	$174.75
99238 Hospital discharge day management, 30 minutes or less	192	136	$86.48	$69.49
G0008 Administration of influenza virus vaccine	176	176	$25.00	$24.50
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	171	171	$35.00	$31.63
85610 Blood test, clotting time	136	15	$18.00	$4.24
82570 Creatinine level to test for kidney function or muscle injury	73	72	$38.40	$5.11
82044 Urine microalbumin (protein) analysis	69	68	$24.00	$6.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	65	13	$60.00	$54.48
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	58	28	$126.56	$99.19
99306 Initial nursing facility visit, typically 45 minutes per day	57	53	$182.17	$158.78
99496 Transitional care management services for problem of high complexity	57	49	$239.35	$237.19
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	51	42	$66.00	$50.83
36415 Insertion of needle into vein for collection of blood sample	46	33	$3.10	$2.96
80053 Blood test, comprehensive group of blood chemicals	46	33	$24.83	$10.43
99220 Hospital observation care, typically 70 minutes	35	34	$233.94	$173.94
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	34	31	$50.00	$34.98
99217 Hospital observation care on day of discharge	32	31	$103.59	$69.16
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	30	16	$26.94	$13.70
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	30	14	$15.00	$1.73
99315 Nursing facility discharge day management, 30 minutes or less	29	29	$112.80	$69.63
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$271.50	$215.89
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	14	14	$175.00	$125.48
99495 Transitional care management services for problem of at least moderate complexity	13	13	$171.00	$169.52
20610 Aspiration and/or injection of fluid from large joint	13	11	$152.80	$63.48
69209 Removal of impacted ear wax by washing	13	13	$75.00	$14.17
99442 Telephone medical discussion with physician, 11-20 minutes	12	11	$95.19	$79.85
99291 Critical care, first 30-74 minutes	11	11	$339.60	$214.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$216.00	$162.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,482	191	$87.60	$70.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,365	473	$129.60	$119.92
99213 Established patient office or other outpatient visit, typically 15 minutes	539	262	$82.80	$77.84
81003 Automated urinalysis test	409	338	$18.00	$2.25
93000 Routine ekg using at least 12 leads including interpretation and report	372	339	$48.00	$14.34
G0442 Annual alcohol misuse screening, 5 to 15 minutes	337	337	$25.00	$17.76
G0444 Annual depression screening, 5 to 15 minutes	331	331	$25.00	$17.81
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	330	330	$175.00	$128.66
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	328	220	$189.60	$171.33
83036 Hemoglobin A1C level	295	127	$24.00	$9.64
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	287	104	$124.80	$101.25
82962 Blood glucose (sugar) test performed by hand-held instrument	283	122	$18.00	$3.26
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	254	178	$244.80	$196.35
99238 Hospital discharge day management, 30 minutes or less	228	164	$86.40	$70.40
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	228	61	$105.60	$88.48
85610 Blood test, clotting time	225	23	$18.00	$4.23
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	169	169	$35.00	$29.38
G0008 Administration of influenza virus vaccine	165	165	$25.00	$16.19
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	103	84	$50.00	$34.99
82044 Urine microalbumin (protein) analysis	97	86	$24.00	$6.23
82570 Creatinine level to test for kidney function or muscle injury	96	85	$38.40	$5.18
80053 Blood test, comprehensive group of blood chemicals	89	63	$25.00	$10.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	88	18	$60.00	$54.37
36415 Insertion of needle into vein for collection of blood sample	87	62	$3.10	$3.00
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	78	23	$105.60	$88.48
99291 Critical care, first 30-74 minutes	67	56	$339.60	$217.91
99496 Transitional care management services for problem of high complexity	64	49	$242.00	$234.39
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	50	40	$66.00	$51.09
99220 Hospital observation care, typically 70 minutes	39	34	$246.00	$178.36
J1040 Injection, methylprednisolone acetate, 80 mg	39	31	$48.00	$10.63
99217 Hospital observation care on day of discharge	38	33	$105.60	$70.40
99306 Initial nursing facility visit, typically 45 minutes per day	37	37	$188.40	$162.51
99315 Nursing facility discharge day management, 30 minutes or less	37	33	$112.80	$71.04
99239 Hospital discharge day management, more than 30 minutes	34	33	$151.20	$103.75
20610 Aspiration and/or injection of fluid from large joint	29	21	$168.00	$63.11
99495 Transitional care management services for problem of at least moderate complexity	27	24	$171.00	$168.85
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	23	11	$26.40	$13.64
85018 Blood count, hemoglobin	22	16	$18.00	$2.37
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	19	11	$50.40	$39.53
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$273.60	$213.81
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	16	13	$33.60	$21.64
69209 Removal of impacted ear wax by washing	15	15	$75.00	$14.08
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	14	12	$79.20	$67.17
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	13	13	$146.40	$126.27
99306 Initial nursing facility visit, typically 45 minutes per day	13	12	$188.40	$162.51
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	12	12	$36.00	$21.56
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$175.00	$147.01
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	12	12	$24.00	$14.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,959	259	$87.60	$71.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,132	443	$129.60	$100.80
99213 Established patient office or other outpatient visit, typically 15 minutes	860	372	$82.80	$60.43
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	408	257	$244.80	$198.87
99238 Hospital discharge day management, 30 minutes or less	362	249	$86.40	$72.02
93000 Routine ekg using at least 12 leads including interpretation and report	342	308	$48.00	$16.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	326	212	$189.39	$138.45
81003 Automated urinalysis test	310	276	$18.00	$2.22
82962 Blood glucose (sugar) test performed by hand-held instrument	292	126	$18.00	$3.22
85610 Blood test, clotting time	272	32	$18.00	$4.16
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	269	269	$175.00	$111.49
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	267	71	$105.60	$89.45
G0442 Annual alcohol misuse screening, 5 to 15 minutes	258	258	$25.00	$17.29
83036 Hemoglobin A1C level	203	124	$24.00	$9.57
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	200	73	$124.80	$103.38
93793 Anticoagulant management of patient taking warfarin	186	14	$20.00	$11.49
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	165	165	$35.00	$29.23
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	135	28	$33.60	$21.96
90471 Administration of 1 vaccine	107	107	$26.40	$13.78
80053 Blood test, comprehensive group of blood chemicals	87	61	$25.00	$10.48
36415 Insertion of needle into vein for collection of blood sample	86	61	$3.10	$2.98
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	80	38	$79.20	$68.16
J1040 Injection, methylprednisolone acetate, 80 mg	66	49	$48.00	$11.59
82570 Creatinine level to test for kidney function or muscle injury	63	62	$38.40	$5.13
82044 Urine microalbumin (protein) analysis	61	60	$24.00	$6.16
G0008 Administration of influenza virus vaccine	61	61	$25.00	$16.07
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	57	55	$146.40	$127.62
G0444 Annual depression screening, 5 to 15 minutes	53	53	$25.00	$17.26
20610 Aspiration and/or injection of fluid from large joint	49	37	$168.00	$61.14
99496 Transitional care management services for problem of high complexity	43	40	$242.00	$224.76
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	41	40	$66.00	$51.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	19	$60.00	$43.86
99217 Hospital observation care on day of discharge	34	32	$105.60	$71.70
99220 Hospital observation care, typically 70 minutes	34	32	$246.00	$183.77
99315 Nursing facility discharge day management, 30 minutes or less	30	30	$112.80	$70.13
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	26	19	$105.60	$90.06
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	19	17	$26.40	$13.76
99291 Critical care, first 30-74 minutes	19	18	$339.60	$220.26
69209 Removal of impacted ear wax by washing	16	15	$75.00	$13.21
85018 Blood count, hemoglobin	16	13	$18.00	$2.35
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$273.60	$203.77
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$175.00	$157.86
99495 Transitional care management services for problem of at least moderate complexity	13	12	$171.00	$166.45
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	11	11	$104.40	$89.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,624	513	$128.83	$103.72
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,111	327	$60.00	$39.92
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,060	223	$87.60	$71.15
82962 Blood glucose (sugar) test performed by hand-held instrument	493	155	$18.00	$3.17
93000 Routine ekg using at least 12 leads including interpretation and report	423	364	$47.33	$16.23
85610 Blood test, clotting time	419	34	$18.00	$4.15
83036 Hemoglobin A1C level	415	156	$24.00	$10.47
81003 Automated urinalysis test	379	315	$18.00	$2.42
99213 Established patient office or other outpatient visit, typically 15 minutes	339	194	$82.40	$70.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	330	330	$175.00	$111.11
G0442 Annual alcohol misuse screening, 5 to 15 minutes	329	329	$25.00	$17.10
G0444 Annual depression screening, 5 to 15 minutes	317	317	$25.00	$17.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	304	209	$188.91	$137.02
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	286	74	$105.60	$88.94
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	253	34	$33.60	$21.44
99238 Hospital discharge day management, 30 minutes or less	253	195	$86.40	$71.12
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	249	174	$160.00	$87.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	239	182	$244.80	$196.43
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	203	86	$124.80	$101.74
90756 Vaccine for influenza for injection into muscle	157	157	$30.00	$25.96
G0008 Administration of influenza virus vaccine	155	155	$25.00	$15.75
36415 Insertion of needle into vein for collection of blood sample	97	67	$3.09	$2.88
99291 Critical care, first 30-74 minutes	95	81	$339.60	$219.00
82270 Stool analysis for blood to screen for colon tumors	92	92	$20.40	$4.29
80053 Blood test, comprehensive group of blood chemicals	89	62	$25.00	$11.25
82044 Urine microalbumin (protein) analysis	82	79	$24.00	$6.04
82570 Creatinine level to test for kidney function or muscle injury	82	79	$38.40	$5.56
99496 Transitional care management services for problem of high complexity	81	64	$242.00	$219.17
J1040 Injection, methylprednisolone acetate, 80 mg	78	60	$39.86	$11.34
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	74	65	$146.40	$126.92
20610 Aspiration and/or injection of fluid from large joint	53	40	$153.63	$58.42
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	46	38	$66.00	$51.00
99315 Nursing facility discharge day management, 30 minutes or less	43	39	$112.80	$71.48
99217 Hospital observation care on day of discharge	43	39	$105.60	$71.12
99220 Hospital observation care, typically 70 minutes	43	39	$246.00	$181.65
99239 Hospital discharge day management, more than 30 minutes	38	36	$151.20	$104.31
85018 Blood count, hemoglobin	35	28	$18.00	$2.58
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	27	21	$25.56	$15.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	12	$60.00	$42.97
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$273.60	$199.94
99495 Transitional care management services for problem of at least moderate complexity	17	15	$171.00	$157.19
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	15	15	$24.00	$14.60
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	15	14	$80.00	$43.57
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	15	15	$36.00	$21.92
69209 Removal of impacted ear wax by washing	13	12	$70.14	$11.98
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$175.00	$144.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,716	527	$127.27	$100.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,132	182	$87.76	$69.12
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	602	357	$59.97	$39.45
82962 Blood glucose (sugar) test performed by hand-held instrument	526	173	$17.82	$3.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	466	257	$188.04	$134.08
93000 Routine ekg using at least 12 leads including interpretation and report	455	403	$46.47	$15.69
81003 Automated urinalysis test	443	359	$17.09	$2.69
85610 Blood test, clotting time	417	43	$17.97	$4.64
99213 Established patient office or other outpatient visit, typically 15 minutes	407	234	$81.28	$68.17
83036 Hemoglobin A1C level	358	167	$23.91	$11.72
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	346	346	$175.00	$108.46
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	329	109	$125.21	$98.29
82270 Stool analysis for blood to screen for colon tumors	254	254	$20.40	$4.29
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	232	39	$33.60	$19.86
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	213	65	$105.68	$86.63
99238 Hospital discharge day management, 30 minutes or less	208	149	$86.66	$69.30
G0008 Administration of influenza virus vaccine	171	169	$25.00	$19.19
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	168	138	$245.31	$191.88
J1040 Injection, methylprednisolone acetate, 80 mg	166	123	$24.93	$10.18
99291 Critical care, first 30-74 minutes	156	107	$339.98	$212.97
36415 Insertion of needle into vein for collection of blood sample	148	112	$3.08	$2.94
80053 Blood test, comprehensive group of blood chemicals	135	105	$23.04	$12.61
90756 Vaccine for influenza for injection into muscle	117	117	$30.00	$22.14
82044 Urine microalbumin (protein) analysis	106	98	$24.00	$6.05
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	105	82	$24.55	$18.85
82570 Creatinine level to test for kidney function or muscle injury	104	96	$38.40	$6.20
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	96	29	$0.05	$0.05
G0444 Annual depression screening, 5 to 15 minutes	88	88	$25.00	$16.55
G0442 Annual alcohol misuse screening, 5 to 15 minutes	81	81	$25.00	$16.46
99239 Hospital discharge day management, more than 30 minutes	78	65	$150.83	$101.05
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	76	69	$160.00	$86.09
87804 Detection test by immunoassay with direct visual observation for influenza virus	67	32	$20.86	$16.11
20610 Aspiration and/or injection of fluid from large joint	65	47	$121.14	$56.11
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	55	52	$146.40	$123.70
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	51	46	$66.11	$50.09
94640 Inhalation treatment for airway obstruction or sputum production	51	47	$22.94	$16.66
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	51	51	$30.00	$17.48
99496 Transitional care management services for problem of high complexity	47	36	$242.00	$216.84
85018 Blood count, hemoglobin	41	27	$15.12	$2.80
99315 Nursing facility discharge day management, 30 minutes or less	39	37	$112.80	$68.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$164.78	$154.61
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram	33	30	$0.21	$0.21
69210 Removal of impacted ear wax	29	27	$79.90	$45.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	20	$58.42	$41.11
69209 Removal of impacted ear wax by washing	26	25	$62.26	$13.88
J1885 Injection, ketorolac tromethamine, per 15 mg	24	11	$4.28	$0.58
99217 Hospital observation care on day of discharge	23	23	$103.87	$69.08
99220 Hospital observation care, typically 70 minutes	23	23	$241.59	$175.78
80305 Testing for presence of drug, read by direct observation	22	21	$35.00	$12.59
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	20	18	$18.00	$13.61
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	18	18	$175.00	$153.72
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$273.60	$195.55
99495 Transitional care management services for problem of at least moderate complexity	14	13	$171.00	$153.22
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	14	14	$36.00	$21.29
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	14	14	$24.00	$14.16
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$200.00	$160.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,014	579	$128.88	$99.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,455	260	$87.60	$67.60
82962 Blood glucose (sugar) test performed by hand-held instrument	637	177	$17.95	$3.11
85610 Blood test, clotting time	560	55	$17.93	$5.20
99213 Established patient office or other outpatient visit, typically 15 minutes	551	308	$82.64	$67.46
81003 Automated urinalysis test	512	399	$17.51	$3.01
93000 Routine ekg using at least 12 leads including interpretation and report	508	425	$47.40	$15.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	496	256	$189.50	$132.38
83036 Hemoglobin A1C level	426	179	$24.00	$12.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	350	239	$244.80	$189.11
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	343	343	$175.00	$105.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	318	68	$60.00	$39.90
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	315	86	$124.80	$98.22
82270 Stool analysis for blood to screen for colon tumors	300	300	$20.40	$4.36
99238 Hospital discharge day management, 30 minutes or less	281	195	$86.40	$67.49
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	227	71	$105.86	$85.38
J1040 Injection, methylprednisolone acetate, 80 mg	181	140	$33.32	$9.85
36415 Insertion of needle into vein for collection of blood sample	167	134	$3.11	$2.92
80053 Blood test, comprehensive group of blood chemicals	165	130	$23.84	$14.10
G0008 Administration of influenza virus vaccine	141	138	$25.00	$23.42
Q2039 Influenza virus vaccine, not otherwise specified	131	131	$30.00	$21.99
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	115	81	$25.33	$23.25
82044 Urine microalbumin (protein) analysis	89	84	$24.00	$6.08
82570 Creatinine level to test for kidney function or muscle injury	89	84	$38.40	$6.88
80305 Testing for presence of drug, read by direct observation	76	74	$35.00	$8.60
20610 Aspiration and/or injection of fluid from large joint	74	59	$132.72	$56.62
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	71	22	$0.05	$0.05
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	70	58	$66.25	$49.55
99217 Hospital observation care on day of discharge	64	58	$105.60	$68.23
99220 Hospital observation care, typically 70 minutes	62	56	$246.00	$175.03
94640 Inhalation treatment for airway obstruction or sputum production	60	53	$33.49	$16.57
99239 Hospital discharge day management, more than 30 minutes	58	49	$151.20	$100.69
87804 Detection test by immunoassay with direct visual observation for influenza virus	54	29	$20.99	$16.06
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	51	47	$146.65	$122.05
99291 Critical care, first 30-74 minutes	49	45	$339.60	$211.28
85018 Blood count, hemoglobin	36	22	$14.79	$3.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$185.16	$155.81
99496 Transitional care management services for problem of high complexity	30	26	$242.00	$212.87
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	27	27	$273.60	$193.37
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	25	25	$175.00	$149.18
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram	23	22	$0.21	$0.21
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	22	22	$22.64	$16.08
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	22	20	$33.60	$18.35
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	21	14	$50.40	$38.04
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	20	17	$24.00	$13.99
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	20	17	$36.00	$21.01
69209 Removal of impacted ear wax by washing	19	14	$65.66	$12.30
99495 Transitional care management services for problem of at least moderate complexity	18	18	$171.00	$142.80
69210 Removal of impacted ear wax	17	17	$80.65	$45.63
11100 Biopsy of single growth of skin and/or tissue	16	16	$126.31	$91.45
99225 Subsequent observation care, typically 25 minutes per day	15	13	$87.00	$68.54
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$200.00	$157.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$137.78	$101.98
99315 Nursing facility discharge day management, 30 minutes or less	13	13	$110.48	$68.52

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35068993

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0186196 (OH)

Commercial Insurance / Payer ID Licence Number

35068993 (OH)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location February 14, 2019

Registered at 9371, EAST MARKET STREET, SUITE #1A, WARREN, OH 44484 (Tel: 3306095277)

📍

Updated Business Mailing Address February 14, 2019

Registered at 9371, EAST MARKET STREET, SUITE #1A, WARREN, OH 44484 (Tel: 3306095277)

👤

Provider Name / Credentials Updated February 14, 2019

Recorded as KAPIL KWATRA, M.D

✅

NPI Profile Active April 08, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location April 08, 2013

Registered at 9375 E MARKET ST, SUITE # 2, WARREN, OH 444845515 (Tel: 3306095277)

📍

Updated Business Mailing Address April 08, 2013

Registered at 9375 EAST MARKET ST, SUITE # 2, WARREN, OH 44484 (Tel: 3306095277)

👤

Provider Name / Credentials Updated April 08, 2013

Recorded as KAPIL KWATRA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2013

Internal Medicine (License #35068993 in OH)

🟢

Initial NPI Registration & Enumeration March 08, 2006

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: 1326016320

Entity Type:

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

Enumeration Date: March 08, 2006

Last Update: February 14, 2019

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

9371, East Market Street, Suite #1a

Warren, OH 44484

Phone: 3306095277

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.