Medicare Enrolled

Dr. Lav Kapadia, MD

Otolaryngology · Frisco, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
4401 COIT RD, Frisco, TX 75035
9727317654
Registered in NPPES since 2005
NPI: 1437153418 verify on NPPES ↗
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. Kapadia 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 →
Are you Dr. Kapadia? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Kapadia

Dr. Lav Kapadia is an otolaryngology specialist in Frisco, TX, with 21 years of NPI registration. Based on federal Medicare data, Dr. Kapadia performed 1,594 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Kapadia received a total of $2,590 from 27 pharmaceutical and/or device companies across 79 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Kapadia 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.

✓ 21 years of NPI registration ▲ Top 24% volume in TX $2,590 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
1,594
Medicare services
Top 24% in TX for otolaryngology
Not available
Unique patients (not deduplicated)
$103
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

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.
264 $94 $215
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.
216 $67 $135
Nasal endoscopy
A diagnostic procedure that uses a thin, lighted tube to examine the inside of the nasal passages.
191 $149 $465
Ear wax removal
A procedure to remove impacted ear wax from the ear canal.
176 $37 $126
Flexible laryngoscopy
A diagnostic exam of the voice box using a flexible endoscope to visualize the larynx.
157 $103 $300
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.
157 $120 $350
CT scan of face, without contrast
A computed tomography scan that creates detailed images of the facial structures. This procedure is performed without the use of intravenous contrast dye.
89 $105 $570
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.
89 $82 $250
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.
87 $46 $98
New patient office visit, complex (60-74 min) 42 $169 $445
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.
37 $131 $310
Head repositioning exercises for dizziness
A series of exercises performed to reposition the head, used to treat dizziness. The procedure is administered on a daily basis.
35 $33 $83
Microscopic ear examination
A detailed visual inspection of the ear using a specialized microscope to examine the ear canal and eardrum.
28 $23 $70
Endoscopic sinus dilation
A procedure that widens the nasal sinuses using an endoscope to improve drainage and airflow.
15 $1,235 $6,920
Eardrum incision with tube placement under general anesthesia
A surgical procedure involving an incision in the eardrum to insert a ventilation tube, performed while the patient is under general anesthesia.
11 $137 $611
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. These counts do not measure clinical quality or years of experience.

Industry Payment Transparency

Open Payments through 2024 ↗
$2,590
Total received (2018-2024)
Avg $370/year across 7 years
Top 34% in TX for otolaryngology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
27
Companies
79
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$344
2023
$336
2022
$220
2021
$232
2020
$286
2019
$675
2018
$495

Payments by company (2024)

AERIN MEDICAL INC.
$68
Integra LifeSciences Corporation
$62
Inspire Medical Systems, Inc.
$45
Stryker Corporation
$45
Medtronic, Inc.
$34
Acclarent, Inc
$31
Regeneron Healthcare Solutions, Inc.
$22
Kerecis Limited
$21
Aytu BioPharma, Inc.
$16
Top 3 companies account for 50.9% of 2024 payments
All-time payments by company (2018-2024) ›
Stryker Corporation
$807
Acclarent, Inc
$612
Inspire Medical Systems, Inc.
$141
Intersect ENT, Inc.
$103
AERIN MEDICAL INC.
$89
Medtronic USA, Inc.
$79
GENZYME CORPORATION
$68
Integra LifeSciences Corporation
$62
AstraZeneca Pharmaceuticals LP
$62
Aerin Medical Inc.
$62
ALK-Abello, Inc
$58
OptiNose US, Inc.
$54
Itamar Medical Inc
$42
Arrinex, Inc.
$42
Regeneron Healthcare Solutions, Inc.
$42
Smith+Nephew, Inc.
$37
Medtronic, Inc.
$34
GlaxoSmithKline, LLC.
$30
Merck Sharp & Dohme LLC
$24
Kerecis Limited
$21
LivaNova USA, Inc.
$21
Optinose US, Inc.
$20
ARBOR PHARMACEUTICALS, INC.
$18
Aytu BioPharma, Inc.
$16
Biohaven Pharmaceutical Holding Company Ltd.
$16
Hikma Pharmaceuticals USA
$15
PFIZER INC.
$15
Top 3 companies account for 60.2% of all-time payments
Associated products mentioned in payments ›
ACCLARENT AERA · ACCLARENT AERA EUSTACHIAN TUBE BALLOON DILATION SYSTEM · ACCLARENT NAVWIRE SINUS NAVIGATION GUIDEWIRE · ACCLARENT NAVWIRE Sinus Navigation Guidewire · ACCLARENT SE Inflation Device · ANDEXXA · Acclarent Aera · Acclarent Navwire · Carto 3 System · Clarifix · DUPIXENT · ENTELLUS - XPRESS ENT DILATION SYSTEM · FUSION · HALO · INSPIRE · Inspira Air · Karbinal · Kerecis Omega3 SurgiClose · NUCALA · NURTEC ODT · Odactra · Otiprio · Otovel · PROPEL · Ryaltris · SCOPIS ENT · SINUVA · SPIROX - LATERA · TruDi · TruDi NAV Cable · TruDi Navigation System · VIVAER STYLUS · VNS Therapy SenTiva Model 1000 Generator · VivAer · Vivaer RF Stylus · WatchPATONE · Xhance
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Looking for an otolaryngology specialist in Frisco?
Compare otolaryngologists in the Frisco area by procedure volume, costs, and industry payment transparency.
Browse otolaryngologists nearby

Geographic Context

Otolaryngologists in nearby ZIP areas
98
County median income
$117,588
Nearest hospital to ZIP centroid (approximate)
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL
0.0 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included 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. Kapadia is a clinical cardiology specialist, with above-average Medicare volume (top 24% in TX), with 21 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. Kapadia experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Kapadia performed 264 office visit, established patient (30-39 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Kapadia receive payments from pharmaceutical companies?
Yes. Dr. Kapadia received a total of $2,590 from 27 companies across 79 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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. Kapadia's costs compare to other otolaryngologists in Frisco?
Dr. Kapadia's average Medicare payment per service is $103. 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. Kapadia) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Industry payment disclosure alone establishes neither wrongdoing nor legality. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →