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Kalvin Kapoor, DO

Psychiatry · Miami

NPI 1861829392

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
3

Offices

3 locations · Gandg Behavioral Center Inc · Cmp Medical Center Corp

Looking this up.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Kapoor’s office to ask if they take your plan before you enroll.

State licence records

1 licence

  • Florida OS13693Osteopathic Physician · since 2015 · expires 2028-03-31
    ActiveNo board action on this licenceCheck it with the state

We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.

School, training and certification

1 placement

What this clinician told their state board, medical school and everything before it. Only some states publish this, so nothing here means the state does not say, not that there was no training or certification.

Education

  • University of Medicine & Dentistry of Nj · DO2010–2013Medical school
  • Nova Southeastern University · No Degree2009–2010

Residency and fellowship

  • Palm Beach Consortium for Graduate Medical Education, Psychiatry/NeurologyWEST PALM BEACH, FL · 2013–2017

What else the board holds

Also licensed in

States the clinician told their board they are also licensed in. Only the states we check are verified.

Florida

Original Medicare doctor bills

$5,806

Medicare paid this office $5,806 for 23 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Psychiatric diagnostic evaluation with medical services17$2,236$132

Who their Medicare patients are

23 Original Medicare patients in 2024. Average age 59 · Under 65 48% · 85 and older 0% · Health risk score 0.86. At or below the middle of the specialty; the typical psychiatry clinician is at 1.35.

Conditions among them: Depression 75% · High blood pressure 48%.

The office billed $18,260, Medicare allowed $7,466 and paid $5,806; for 68 services of 7 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
20242368590.86$18,260$5,806
2023109335621.03$63,718$23,356
20221149661.49$10,275$3,147
2020112387612.59$72,531$27,373
20192981,097602.31$215,397$80,817
20183611,469622.41$334,715$127,731
2017174603592.28$143,271$55,549

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 6 services

Original Medicare services billed in 2023
Return visit (30+ min)65$10,094$75
Psychiatric diagnostic evaluation with medical services38$4,757$125
Psychotherapy with evaluation and management visit, 30 minutes42$3,565$48
Long return visit (40+ min)12$2,653$111
Short return visit (20+ min)29$1,840$48
Assessment of emotional or behavioral problems13$67$3

2020: 4 services

Original Medicare services billed in 2020
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes67$14,133$60
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes18$3,339$86
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes24$2,924$117
Hospital discharge day management, more than 30 minutes19$1,480$74

2019: 8 services

Original Medicare services billed in 2019
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes188$38,510$59
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes98$11,445$109
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes53$7,699$85
Initial hospital care with moderate level of medical decision making at least 75 minutes46$7,438$155
Hospital discharge day management, more than 30 minutes60$5,491$86
Short return visit (20+ min)12$1,586$59
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes14$1,195$85
Short return visit (20+ min)12$680$40

2018: 7 services

Original Medicare services billed in 2018
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes199$40,980$85
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes200$30,354$60
Initial hospital care with moderate level of medical decision making at least 75 minutes156$28,944$163
Hospital discharge day management, more than 30 minutes89$8,971$89
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes54$6,570$113
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes12$1,112$86
Hospital discharge day management, 30 minutes or less14$850$61

2017: 4 services

Original Medicare services billed in 2017
Initial hospital care with moderate level of medical decision making at least 75 minutes110$19,862$168
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes92$17,465$86
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes67$9,185$60
Hospital discharge day management, more than 30 minutes47$4,523$89

Medicaid work

$35,000 in 2023

Medicaid paid $35,000 for 403 billed services this clinician did in 2023, up to 73 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2023
Return visit (30+ min)292$26,718
Short return visit (20+ min)86$5,526
Psychiatric diagnostic evaluation with medical services25$2,756
Medicaid work by year
2023403373$35,000
202261219$6,324
20213,237445$331,491
202012,9169158$1,309,846
201919,11010153$2,420,840
2018924522$13,751
See the largest Medicaid services in earlier years

2022

Largest Medicaid services in 2022
Return visit (30+ min)47$5,253
Short return visit (20+ min)14$1,070

2021

Largest Medicaid services in 2021
Psychosocial rehabilitation services, per 15 minutes2,328$290,628
Therapeutic behavioral services, per 15 minutes833$37,479
Long return visit (40+ min)50$2,584
Psychotherapy, 45 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)26$800

2020

Largest Medicaid services in 2020
Psychosocial rehabilitation services, per 15 minutes12,261$1,283,882
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES362$10,763
Mental health assessment, by non-physician67$3,377
Mental health service plan development by non-physician59$3,007
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES58$2,787
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES31$2,551
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter33$1,752
Therapeutic behavioral services, per 15 minutes31$1,728
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications14$0

2019

Largest Medicaid services in 2019
Psychosocial rehabilitation services, per 15 minutes17,223$2,353,843
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES1,003$31,419
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES155$10,049
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter156$8,475
Mental health service plan development by non-physician88$7,178
Mental health assessment, by non-physician171$4,405
1ST HOSP IP/OBS HIGH 7529$2,803
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES73$2,667
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications176$0
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given36$0

2018

Largest Medicaid services in 2018
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES391$7,240
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES303$3,804
1ST HOSP IP/OBS HIGH 7577$2,158
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter30$549
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications123$0

Drugs they prescribed that Part D paid

$39,966

Pharmacies billed $39,966 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 0% of their Part D prescriptions (0 of 1,059) in 2024. At or below the middle of the specialty; the typical psychiatry clinician is at 0%.

1,031 generic and 28 brand-name prescriptions · $39,966 in drug cost · 86 antipsychotic prescriptions to people over 65.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Lurasidone23$1,825$79
Quetiapine107$929$9
Bupropion Xl89$896$10
Aripiprazole64$661$10
Oxcarbazepine14$642$46
See all 23 drugs
Every Part D drug this clinician prescribed
Lurasidone23$1,825$79
Quetiapine107$929$9
Bupropion Xl89$896$10
Aripiprazole64$661$10
Oxcarbazepine14$642$46
Atomoxetine14$573$41
Mirtazapine38$570$15
Duloxetine58$552$10
Paroxetine90$514$6
Trazodone50$330$7
Lamotrigine75$283$4
Ziprasidone15$270$18
Buspirone28$193$7
Sertraline41$177$4
Bupropion Hcl Sr21$134$6
Hydroxyzine Pamoate33$127$4
Fluoxetine23$99$4
Olanzapine16$94$6
Escitalopram28$78$3
Alprazolam31$75$2
Lorazepam16$61$4
Amitriptyline12$40$3
Citalopram Hbr16$36$2

Year by year

Part D prescribing by year
20241,0591740% (0)3%$39,966
20234861260% (0)2%$18,969
2022363790% (0)None$13,871
202179240% (0)None$3,861
2020641730% (0)5%$32,399
20198981420% (0)5%$41,646
2018732139NoneNone$24,446
201718946NoneNone$6,780

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 16 drugs

Part D drugs prescribed in 2023
Duloxetine36$922$26
Aripiprazole39$751$19
Trazodone29$661$23
Quetiapine43$574$13
Bupropion Xl28$448$16
Mirtazapine17$289$17
Hydralazine12$237$20
Buspirone11$208$19
Escitalopram24$205$9
Fluoxetine20$168$8
Paroxetine21$124$6
Lamotrigine28$119$4
Clonazepam12$105$9
Sertraline18$102$6
Bupropion Hcl Sr13$79$6
Hydroxyzine Pamoate15$68$5

2022: 13 drugs

Part D drugs prescribed in 2022
Quetiapine36$1,450$40
Duloxetine23$865$38
Aripiprazole36$616$17
Bupropion Xl25$504$20
Venlafaxine Hcl Er26$478$18
Paroxetine26$122$5
Hydroxyzine Pamoate16$104$6
Clonazepam16$87$5
Escitalopram20$73$4
Sertraline11$70$6
Zolpidem11$60$5
Citalopram Hbr12$50$4
Trazodone12$28$2

2021: 2 drugs

Part D drugs prescribed in 2021
Aripiprazole12$898$75
Lamotrigine11$58$5

2020: 16 drugs

Part D drugs prescribed in 2020
Trazodone26$1,123$43
Aripiprazole21$781$37
Alprazolam79$599$8
Clonazepam41$561$14
Quetiapine43$515$12
Clozapine14$367$26
Gabapentin39$335$9
Olanzapine15$333$22
Mirtazapine29$318$11
Sertraline33$233$7
Bupropion Xl11$217$20
Topiramate23$204$9
Escitalopram25$203$8
Paroxetine14$149$11
Duloxetine14$115$8
Benztropine Mesylate11$97$9

2019: 25 drugs

Part D drugs prescribed in 2019
Trazodone46$2,468$54
Aripiprazole29$1,188$41
Haloperidol21$842$40
Quetiapine60$742$12
Clonazepam58$707$12
Fluvoxamine Maleate16$696$44
Hydroxyzine18$505$28
Gabapentin66$498$8
Olanzapine17$445$26
Alprazolam54$427$8
Clozapine14$355$25
Mirtazapine28$303$11
Fluoxetine25$301$12
Duloxetine20$277$14
Paroxetine16$243$15
Lamotrigine12$191$16
Benztropine Mesylate19$184$10
Zolpidem15$178$12
Topiramate21$168$8
Escitalopram20$162$8
Sertraline22$137$6
Venlafaxine Hcl Er12$128$11
Famotidine13$89$7
Atorvastatin12$75$6
Lorazepam12$56$5

2018: 19 drugs

Part D drugs prescribed in 2018
Aripiprazole12$2,272$189
Haloperidol20$993$50
Trazodone53$544$10
Quetiapine34$533$16
Risperidone19$398$21
Divalproex33$376$11
Mirtazapine38$346$9
Clonazepam42$309$7
Gabapentin19$264$14
Benztropine Mesylate24$249$10
Hydroxyzine Pamoate17$233$14
Olanzapine24$229$10
Alprazolam25$220$9
Fluoxetine16$97$6
Temazepam15$83$6
Sertraline13$74$6
Lorazepam13$68$5
Amlodipine Besylate13$63$5
Citalopram Hbr13$57$4

2017: 1 drug

Part D drugs prescribed in 2017
Quetiapine11$294$27

Money from drug and device companies

$26 in 2025

Industry payments by year
202511None$26
202411None$125

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Neurocrine BioSciencesIngrezza$26
1 payment
  • Meals for Ingrezza · 2025-08-15 · $26
See the published payment
Every published payment
Neurocrine BioSciencesMeals · 2025-08-15Ingrezza$26
See earlier years (2024)

2024: $125

Payments by company in 2024
ITI Inc. (d/b/a Intra-Cellular Therapies Inc.)Caplyta$125
1 payment
  • Meals for Caplyta · 2024-11-12 · $125

Research money

Money a company paid to run a study. Where it went to their institution, the clinician is named as an investigator and did not receive it; the amount covers the whole study, often across many sites.

Research payments by company and study
Otsuka Pharmaceutical Development & Commercialization, Inc. · A Phase 3, 12-Week, Multicenter, Randomized, Double-Blind, Placebo-Controlled, 2-Arm, Fixed-Dose Trial To Evaluate the Efficacy, Safety, and Tolerability of Brexpiprazole (Opc-34712) in the Treatment of Subjects With Agitation Associated With Dementia of the Alzheimers Type · 2021Their institution$39,990
Otsuka Pharmaceutical Development & Commercialization, Inc. · A Phase 3, 12-Week, Multicenter, Randomized, Double-Blind, Placebo-Controlled, 2-Arm, Fixed-Dose Trial To Evaluate the Efficacy, Safety, and Tolerability of Brexpiprazole (Opc-34712) in the Treatment of Subjects With Agitation Associated With Dementia of the Alzheimers Type · 2022Their institution$35,409
Otsuka Pharmaceutical Development & Commercialization, Inc. · A 12-Week, Multicenter, Active-Treatment Extension Trial To Evaluate the Safety and Tolerability of Brexpiprazole in the Treatment of Subjects With Agitation Associated With Dementia of the Alzheimer'S Type · 2022Their institution$17,907
Otsuka Pharmaceutical Development & Commercialization, Inc. · A Phase 3, 12-Week, Multicenter, Randomized, Double-Blind, Placebo-Controlled, 2-Arm, Fixed-Dose Trial To Evaluate the Efficacy, Safety, and Tolerability of Brexpiprazole (Opc34712) in the Treatment of Subjects With Agitation Associated With Dementia of the Alzheimers Type · 2020Their institution$13,337
Otsuka Pharmaceutical Development & Commercialization, Inc. · A 12-Week, Multicenter, Active-Treatment Extension Trial To Evaulate the Safety and Tolerability of Brexpiprazole in the Treatment of Subjects With Agitation Associated With Dementia of the Alzheimer'S Type · 2020Their institution$5,000
Otsuka Pharmaceutical Development & Commercialization, Inc. · A 12-Week, Multicenter, Active-Treatment Extension Trial To Evaluate the Safety and Tolerability of Brexpiprazole in the Treatment of Subjects With Agitation Associated With Dementia of the Alzheimer'S Type · 2023Their institution$3,290

Professional record

NPI
1861829392
Licence
FL OS13693Florida OS13693: Active
Group
Gandg Behavioral Center Inc · Cmp Medical Center Corp
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
Yes
Taxonomy
Psychiatry (2084P0800X); Federal specialty code 2084A0401X (2084A0401X)
Mailing address
6928 Sw 39th St Apt A208, Davie, FL, 33314
NPI first listed
2013-09-30
NPI last updated
2024-05-24
NPI record certified
2024-05-24

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 99 Almaden Blvd Ste 600, San Jose, CA, 95113 · 7201 N University Dr, Tamarac, FL, 33321