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Minal Kapoor, MD

Infectious Disease · Los Gatos

NPI 1962549220

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
30
7 carriers
Office
1

Offices

1 location

Plans that list them

30 plans · 7 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Kapoor’s office at (408) 722-7930 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

30 of 30 plans

Plans whose provider directory lists this clinician
Alignment Health Advantage PPO (PPO)Alignment Health PlanListedOct 3, 2026
Alignment Health BreathEasy (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Clarity (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Harmony (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes Care (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Heart & Diabetes Choice (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Honor+ Plan (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health My Choice CalCare (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Silicon (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health the ONE (HMO)Alignment Health PlanListedOct 3, 2026
Astiva Health C-SNP WOW - NorCal (HMO C-SNP)Astiva HealthListedSep 27, 2026
Astiva Health Premier Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Astiva Health Savings Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Blue Shield Inspire (HMO)Blue Shield of CaliforniaListedAug 26, 2026
Central Health Classic Care Plan III (HMO)Central Health Medicare PlanListedAug 15, 2026
Central Health Dual Access Plan (HMO D-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Embrace Care Plan (HMO C-SNP)Central Health Medicare PlanListed, may be out of dateSep 15, 2025
Central Health Embrace Choice Plan (HMO C-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Valor Care Plan (HMO)Central Health Medicare PlanListedAug 15, 2026
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 2026
SCAN Balance (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
SCAN Classic (HMO)SCAN Health PlanListedOct 3, 2026
SCAN MyChoice (HMO)SCAN Health PlanListedOct 3, 2026
SCAN Strive (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

Original Medicare doctor bills

$77,335

Medicare paid this office $77,335 for 117 people.

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

Largest Original Medicare bills
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes81$33,402$70
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes88$24,595$106
Initial hospital care with moderate level of medical decision making at least 75 minutes81$13,293$155
Removal of skin and tissue, 20.0 sq cm or less14$1,820$55
Return visit (30+ min)11$1,139$88

Who their Medicare patients are

117 Original Medicare patients in 2024. Average age 73 · Under 65 19% · 85 and older 21% · Women 52% · Also on Medicaid 67% · Health risk score 4.40. Sicker patients than 9 in 10 peers; the typical infectious disease clinician is at 3.

Conditions among them: High blood pressure 75% · Diabetes 63% · Chronic kidney disease 58% · Coronary heart disease 56% · Heart failure 56% · Depression 41% · Atrial fibrillation 40% · Dementia 37% · COPD 29% · Stroke 15%.

The office billed $157,953, Medicare allowed $97,064 and paid $77,335; for 897 services of 12 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
2024117897734.40$157,953$77,335
20231861,961743.53$329,257$156,994
20222242,447723.86$507,284$192,932
20212091,443743.62$355,781$126,833
20201801,116772.82$174,890$118,510
2019197855753.43$176,161$70,044
20183922,029743.21$455,117$157,204
20173512,314753.17$514,310$182,059
20165253,044753.13$636,402$221,310
20156384,235752.94$770,818$272,945
20145543,429752.88$627,045$220,663
20135252,484752.99$444,337$164,103

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: 7 services

Original Medicare services billed in 2023
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes144$63,448$71
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes147$51,558$107
Initial hospital care with moderate level of medical decision making at least 75 minutes140$22,034$156
Removal of skin and tissue, 20.0 sq cm or less17$7,335$55
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes15$4,810$44
Short return visit (20+ min)15$1,371$60
Return visit (30+ min)11$1,236$88

2022: 6 services

Original Medicare services billed in 2022
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes176$75,772$93
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes159$70,405$64
Initial hospital care with moderate level of medical decision making at least 75 minutes174$31,356$177
Removal of skin and tissue, 20.0 sq cm or less16$4,265$55
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes22$2,700$35
Short return visit (20+ min)22$2,681$61

2021: 7 services

Original Medicare services billed in 2021
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes138$63,194$94
Initial hospital care with moderate level of medical decision making at least 75 minutes153$28,930$183
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes65$15,503$66
Removal of skin and tissue, 20.0 sq cm or less22$6,733$56
Short return visit (20+ min)18$1,803$62
New patient visit (30+ min)16$1,225$77
Short return visit11$564$33

2020: 3 services

Original Medicare services billed in 2020
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes161$75,157$95
Initial hospital care with moderate level of medical decision making at least 75 minutes165$33,495$185
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes51$8,709$66

2019: 6 services

Original Medicare services billed in 2019
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes129$36,361$82
Initial hospital care with moderate level of medical decision making at least 75 minutes95$16,136$158
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes68$10,619$56
Return visit (30+ min)13$1,187$59
Short return visit (20+ min)13$958$37
Return visit (30+ min)11$851$77

2018: 7 services

Original Medicare services billed in 2018
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes294$84,409$77
Initial hospital care with moderate level of medical decision making at least 75 minutes213$35,920$148
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes159$24,148$53
Return visit (30+ min)24$2,567$57
Short return visit (20+ min)22$2,083$35
Short return visit (20+ min)20$1,093$46
Return visit (30+ min)12$961$69

2017: 7 services

Original Medicare services billed in 2017
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes268$96,415$79
Initial hospital care with moderate level of medical decision making at least 75 minutes212$38,157$152
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes168$28,918$55
Return visit (30+ min)34$4,001$58
Return visit (30+ min)19$2,853$73
Short return visit (20+ min)29$2,395$37
Short return visit (20+ min)18$1,197$52

2016: 11 services

Original Medicare services billed in 2016
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes297$78,842$77
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes338$65,758$53
Initial hospital care with moderate level of medical decision making at least 75 minutes270$48,178$149
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes54$5,601$100
Long return visit (40+ min)26$4,952$105
Return visit (30+ min)34$4,135$67
Return visit (30+ min)32$3,155$58
Short return visit (20+ min)34$2,896$37
Short return visit (20+ min)35$1,967$45
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes34$1,551$29
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 and18$707$39

2015: 16 services

Original Medicare services billed in 2015
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes413$113,688$55
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes221$44,079$79
Initial hospital care with moderate level of medical decision making at least 75 minutes193$32,094$154
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes201$23,607$103
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more61$14,941$51
Return visit (30+ min)50$6,611$78
Subsequent nursing facility care with straightforward level of medical decision making, per day at least 10 minutes41$5,724$34
Short return visit (20+ min)76$5,539$38
Return visit (30+ min)58$5,492$59
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes69$4,159$30
Long return visit (40+ min)23$3,363$105
New patient visit (45+ min)29$2,857$99
Short return visit (20+ min)43$2,750$51
New patient visit (30+ min)34$1,972$58
New patient visit (30+ min)11$820$75
Removal of skin and tissue, 20.0 sq cm or less12$752$47

2014: 14 services

Original Medicare services billed in 2014
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes335$79,703$55
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes190$42,720$79
Initial hospital care with moderate level of medical decision making at least 75 minutes184$30,728$154
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes158$17,983$102
Short return visit (20+ min)80$7,699$38
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more36$6,386$52
Subsequent nursing facility care with straightforward level of medical decision making, per day at least 10 minutes50$6,199$34
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes75$5,744$30
Return visit (30+ min)44$4,950$60
Short return visit (20+ min)49$3,952$51
New patient visit (30+ min)40$2,142$54
New patient visit (45+ min)18$1,703$95
Return visit (30+ min)13$1,527$80
Removal of skin and tissue, 20.0 sq cm or less11$748$47

2013: 13 services

Original Medicare services billed in 2013
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes397$67,621$53
Initial hospital care with moderate level of medical decision making at least 75 minutes214$32,179$145
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes155$29,543$76
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes144$15,778$100
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes68$3,573$29
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more25$3,352$51
Subsequent nursing facility care with straightforward level of medical decision making, per day at least 10 minutes25$3,275$33
Short return visit (20+ min)25$1,948$54
Initial nursing facility care with moderate level of medical decision making, per day at least 35 minutes11$1,070$97
New patient visit (30+ min)12$961$80
Short return visit (20+ min)17$859$37
New patient visit (30+ min)12$674$56
Short return visit13$454$32

Medicaid work

$18,839 in 2024

Medicaid paid $18,839 for 1,471 billed services this clinician did in 2024, up to 30 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 2024
IP/OBS CONSLTJ NEW/EST PT HIGH MDM 80 MINUTES219$7,279
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES561$6,392
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES661$5,038
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES30$130
Medicaid work by year
20241,471430$18,839
20232,633832$25,681
20223,096739$59,201
20212,234642$42,187
2020508523$11,244
201885121$1,913
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES1,219$10,282
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES964$9,841
IP/OBS CONSLTJ NEW/EST PT HIGH MDM 80 MINUTES97$2,981
IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES79$1,375
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES149$816
Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less28$306
1ST HOSP IP/OBS HIGH 7529$80
Service68$0

2022

Largest Medicaid services in 2022
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES1,285$29,175
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES1,464$21,637
IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES133$4,371
Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less53$1,408
IP/OBS CONSLTJ NEW/EST PT HIGH MDM 80 MINUTES18$1,269
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES131$1,261
1ST HOSP IP/OBS HIGH 7512$80

2021

Largest Medicaid services in 2021
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES1,334$18,454
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES597$13,595
IP/OBS CONSLTJ NEW/EST PT HIGH MDM 80 MINUTES141$5,493
Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less134$4,059
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES13$408
IP/OBS CONSLTJ NEW/EST PT LOW MDM 45 MINUTES15$178

2020

Largest Medicaid services in 2020
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES235$5,580
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES135$2,112
Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less83$2,035
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES43$929
IP/OBS CONSLTJ NEW/EST PT HIGH MDM 80 MINUTES12$589

2018

Largest Medicaid services in 2018
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES85$1,913

Professional record

NPI
1962549220
Licence
IN 01064508
More record details
Sole proprietor
No
Medicaid ID
IN 200912090
Taxonomy
Federal specialty code 207RI0200X (207RI0200X)
Mailing address
Po Box 3429, Saratoga, CA, 95070
NPI first listed
2007-01-30
NPI last updated
2021-10-29
NPI record certified
2021-10-29

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