Medicare Enrolled
Dr. Gaurav Kapoor, MD
Interventional Cardiology · Coal City, IL
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Kapoor from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Kapoor
Dr. Gaurav Kapoor is an interventional cardiology specialist in Coal City, IL, with 20 years of NPI registration. Based on federal Medicare data, Dr. Kapoor performed 6,080 Medicare services across 3,911 unique beneficiaries.
Between the years covered by Open Payments, Dr. Kapoor received a total of $6,369 from 36 pharmaceutical and/or device companies across 153 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in interventional cardiology. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Kapoor is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years in practice
▲ Top 10% volume in IL
$6,369 industry payments
Medicare Practice Summary
Medicare Utilization ↗6,080
Medicare services
Top 10% in IL for interventional cardiology
3,911
Unique beneficiaries
$56
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~304 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
1,367 | $89 | $230 |
| EKG interpretation and report A standard electrocardiogram test that records the heart's electrical activity using at least 12 leads. The service includes a professional interpretation of the results and a written report. |
626 | $6 | $23 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
546 | $10 | $68 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
436 | $51 | $185 |
| Prothrombin time test (blood clotting) A laboratory test that measures how long it takes for blood to clot. This procedure evaluates the body's coagulation process. |
368 | $4 | $35 |
| Anticoagulant management for warfarin Management of anticoagulant therapy for a patient taking warfarin. This service involves monitoring and adjusting the medication regimen. |
350 | $9 | $33 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
349 | $61 | $162 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
338 | $67 | $157 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
328 | $93 | $225 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
163 | $10 | $128 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
157 | $134 | $438 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while an electrocardiogram is monitored under physician supervision. |
130 | $15 | $61 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram, with physician review of the results. |
130 | $10 | $40 |
| Nuclear stress test of heart muscle A nuclear medicine imaging test that evaluates blood flow to the heart muscle at rest and during stress using a special camera. |
113 | $56 | $162 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
84 | $133 | $311 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
82 | $121 | $356 |
| Physician review of home INR testing A physician reviews, interprets, and manages home INR testing results for patients with mechanical heart valves, chronic atrial fibrillation, or venous thromboembolism who meet Medicare coverage criteria. |
67 | $7 | $25 |
| Cardiac catheterization | 49 | $202 | $835 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
46 | $101 | $297 |
| Pacemaker system evaluation Assessment of a pacemaker device, including single, dual, multiple lead, or leadless systems. |
29 | $14 | $55 |
| Stress echocardiogram with ECG monitoring An ultrasound of the heart performed while monitoring heart rhythm during rest, exercise, or medication-induced stress, followed by a review and report of the findings. |
29 | $61 | $219 |
| Continuous ECG monitoring with transmission and review Continuous electrocardiogram monitoring for up to 30 days with symptom tracking. The data is transmitted and reviewed by a healthcare professional who provides a report. |
26 | $19 | $68 |
| Intravascular ultrasound of heart vessel, initial An ultrasound procedure used to evaluate a blood vessel within the heart during a diagnostic or treatment procedure. |
24 | $57 | $767 |
| Transesophageal echocardiogram An ultrasound of the heart performed using a probe inserted into the esophagus to obtain detailed images of heart structures and function. |
22 | $78 | $285 |
| Echocardiogram, transthoracic An ultrasound test that uses sound waves to create images of the heart's blood flow, valves, and chambers. |
22 | $13 | $49 |
| Echocardiogram with color Doppler An ultrasound of the heart that uses color imaging to visualize blood flow, measure flow rate, and assess valve function. |
22 | $2 | $32 |
| New patient office visit, complex (60-74 min) | 22 | $175 | $449 |
| Coronary stent placement A procedure to insert a stent into a coronary artery or its branch to keep it open, using balloon dilation during the process. |
21 | $443 | $1,720 |
| External shock to heart to regulate heart beat A procedure that delivers an electric shock to the heart from outside the body to restore a normal heart rhythm. |
21 | $84 | $581 |
| Radiologist review of arm or leg artery images A radiologist reviews images of the arteries in one or both arms or legs to assess blood flow and vessel health. |
18 | $72 | $267 |
| Ultrasound of heart blood vessel or graft An ultrasound exam to evaluate blood flow in a heart blood vessel or graft, including a radiologist's review of the initial vessel. |
18 | $74 | $272 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
15 | $37 | $94 |
| Coronary artery stent placement with balloon dilation A procedure to remove plaque buildup from a single coronary artery or branch, followed by balloon dilation and insertion of a stent to keep the artery open. |
14 | $484 | $1,680 |
| Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist | 14 | $282 | $1,070 |
| Radiologist review of abdominal aorta image A radiologist reviews images of the abdominal aorta to evaluate the blood vessel. |
12 | $53 | $126 |
| Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist | 11 | $214 | $955 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
11 | $86 | $235 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
9.6% high complexity
8.0% medium
82.4% routine
Industry Payment Transparency
Open Payments through 2024 ↗$6,369
Total received (2018-2024)
Avg $910/year across 7 years
Top 45% in IL for interventional cardiology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
36
Companies
153
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$5,156 (81.0%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$1,042 (16.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$171 (2.7%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,913
2023
$390
2022
$466
2021
$290
2020
$61
2019
$2,529
2018
$720
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Cook Incorporated
$1,042
Novo Nordisk Inc
$200
Edwards Lifesciences Corporation
$114
Inspire Medical Systems, Inc.
$74
Lexicon Pharmaceuticals, Inc.
$66
Boehringer Ingelheim Pharmaceuticals, Inc.
$64
Novartis Pharmaceuticals Corporation
$63
Boston Scientific Corporation
$62
Merck Sharp & Dohme LLC
$48
Janssen Pharmaceuticals, Inc
$45
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$29
Kiniksa Pharmaceuticals International, plc
$26
BIOTRONIK INC.
$23
AstraZeneca Pharmaceuticals LP
$22
PFIZER INC.
$19
AltaThera Pharmaceuticals LLC
$16
Top 3 companies account for 70.9% of 2024 payments
All-time payments by company (2018-2024) ›
ABIOMED
$1,458
Cook Incorporated
$1,042
Edwards Lifesciences Corporation
$778
Boston Scientific Corporation
$335
Abbott Laboratories
$248
Janssen Pharmaceuticals, Inc
$240
Boehringer Ingelheim Pharmaceuticals, Inc.
$209
Novo Nordisk Inc
$200
Medtronic Vascular, Inc.
$193
Medtronic, Inc.
$184
W. L. Gore & Associates, Inc.
$171
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$153
Merck Sharp & Dohme LLC
$124
Novartis Pharmaceuticals Corporation
$109
Philips Electronics North America Corporation
$94
Lexicon Pharmaceuticals, Inc.
$86
Inspire Medical Systems, Inc.
$74
AstraZeneca Pharmaceuticals LP
$72
Amgen Inc.
$69
Cardiovascular Systems Inc.
$62
SANOFI-AVENTIS U.S. LLC
$58
Terumo Medical Corporation
$55
Kiniksa Pharmaceuticals, Ltd.
$45
BIOTRONIK INC.
$41
Penumbra, Inc.
$41
BOSTON SCIENTIFIC CORPORATION
$40
Kiniksa Pharmaceuticals International, plc
$26
Avinger Inc.
$23
SCPHARMACEUTICALS INC.
$21
Cardinal Health 414 LLC
$19
PFIZER INC.
$19
Cook Medical LLC
$17
Kowa Pharmaceuticals America, Inc.
$17
CARDIVA MEDICAL, INC.
$16
AltaThera Pharmaceuticals LLC
$16
Bardy Diagnostics, Inc.
$15
Top 3 companies account for 51.5% of all-time payments
Associated products mentioned in payments ›
(6342) Intrasight Integ · ABSOLUTE PRO · ACUSEAL Vascular Graft · AMPLATZER Occluders · ARMADA · Arcalyst · BRILINTA · CARDIOMEMS · COMET · CardioMEMS HF System · Carnation Ambulatory Monitor · Cook Medical AAA · Corlanor · ELIQUIS · ELUVIA · ENTRESTO · Edwards SAPIEN 3 Transcatheter Heart Valve · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · FARXIGA · FUROSCIX · GUNTHER TULIP · HawkOne · HeartMate 3 Left Ventricular Dev · IGT_D Peripheral · IN.PACT AV · IN.PACT Admiral · INSPIRE · Impella · Inpefa · JARDIANCE · JETSTREAM · LEQVIO · LifeVest · Livalo · MICRA · MetaCross · Orsiro Mission · Ozempic · PANTHERIS · PERCLOSE PROGLIDE · PERCLOSE PROSTYLE · PRADAXA · PRALUENT · Penumbra System · Peripheral Orbital Atherectomy System · ROTABLATOR · Repatha · Rybelsus · Sotalol Hydrochloride · Telescope · TurboHawk · VERQUVO · Vascular Closure Device · WATCHMAN Access System · WATCHMAN FLX · Wegovy · XARELTO
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (81%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Interventional cardiologists within 10 mi
8
Per 100K population
15.1
County median income
$93,060
Nearest hospital
MORRIS HOSPITAL & HEALTHCARE CENTERS
9.4 mi
9.4 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Kapoor is a clinical cardiology specialist, with above-average Medicare volume (top 10% in IL), with low-engagement industry engagement, with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Kapoor experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Kapoor performed 1,367 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Kapoor receive payments from pharmaceutical companies?
Yes. Dr. Kapoor received a total of $6,369 from 36 companies across 153 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Kapoor's costs compare to other interventional cardiologists in Coal City?
Dr. Kapoor's average Medicare payment per service is $56. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Kapoor) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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