Ralph Jeffrey Capra , PA
Physician Assistant • Elmhurst, NY
7425 Grand Ave
Elmhurst, NY 113734126
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on April 6, 2006; this date does not establish years in practice.
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Published CMS data list 437 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99213 — Established patient outpatient office visit: 139 service units.
- 87428 — Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza: 95 service units.
- 99214 — Established patient outpatient office visit: 43 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 10 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 362 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Prednisone — 58 prescription fills, including refills.
- Albuterol Sulfate Hfa (Albuterol Sulfate) — 46 prescription fills, including refills.
- Fluticasone Propionate — 33 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 15 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Elmhurst, NY (2024, 22 clinicians with data). Median for this group: 170. Middle half: 77 to 325.
More Medicare Part B services than 75% of clinicians listed under Physician Assistant in New York (2024, 5,025 clinicians with data). Median for this group: 151. Middle half: 53 to 410.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 44 in 2020 to 437 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
7425 Grand Ave
Elmhurst, NY 113734126
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 2 distinct additional practice-address records in Bronx, NY; Jamaica, NY. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 2 distinct group names: City Medical Of Upper East Side Pllc; Montefiore Medical Center. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2004
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
238 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $31,503 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $22,620 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
362 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$3,120 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021–2025.
Years since graduation
22 years (graduated 2004)
CMS Doctors and Clinicians data list 2004 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
May accept Medicare assignment
CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.
Ask the office before your visit. If a clinician does not accept assignment for a service, they can charge up to 15% more than the Medicare-approved amount, and you may be asked to pay the full amount at the visit.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Ralph Capra has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Ralph Capra as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Elmhurst and New York
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Elmhurst, NY (2024, 22 clinicians with data). Median for this group: 170. Middle half: 77 to 325.
More Medicare Part B services than 75% of clinicians listed under Physician Assistant in New York (2024, 5,025 clinicians with data). Median for this group: 151. Middle half: 53 to 410.
Medicare-allowed amount
A higher Medicare-allowed amount than 80% of clinicians listed under Physician Assistant in Elmhurst, NY (2024, 22 clinicians with data). Median for this group: $14,528. Middle half: $6,256 to $26,843.
A higher Medicare-allowed amount than 75% of clinicians listed under Physician Assistant in New York (2024, 5,025 clinicians with data). Median for this group: $12,004. Middle half: $4,378 to $28,196.
Paid by Medicare
A higher Medicare payment amount than 80% of clinicians listed under Physician Assistant in Elmhurst, NY (2024, 22 clinicians with data). Median for this group: $11,062. Middle half: $4,406 to $21,163.
A higher Medicare payment amount than 75% of clinicians listed under Physician Assistant in New York (2024, 5,025 clinicians with data). Median for this group: $8,890. Middle half: $3,209 to $20,987.
Medicare Part D prescriptions
More Part D prescriptions than 70% of clinicians listed under Physician Assistant in Elmhurst, NY (2024, 50 clinicians with data). Median for this group: 198. Middle half: 45 to 486.
More Part D prescriptions than 65% of clinicians listed under Physician Assistant in New York (2024, 6,800 clinicians with data). Median for this group: 172. Middle half: 46 to 640.
Part D drug cost
Close to the middle for clinicians listed under Physician Assistant in Elmhurst, NY (2024, 50 clinicians with data). Median for this group: $2,757. Middle half: $560 to $33,772.
Close to the middle for clinicians listed under Physician Assistant in New York (2024, 6,800 clinicians with data). Median for this group: $2,860. Middle half: $381 to $63,975.
146 active clinicians are listed under Physician Assistant with a practice address in Elmhurst, NY (15,558 in New York).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Elmhurst
3.4% of these 146 clinicians have the CMS telehealth indicator.
35.6% of these 146 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 893% from 44 in 2020 to 437 in 2024.
- 2020: 44
- 2021: 306
- 2022: 713
- 2023: 603
- 2024: 437
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Medicare-allowed amount
Medicare-allowed amount increased 1557% from $1,901 in 2020 to $31,503 in 2024.
- 2020: $1,901
- 2021: $25,065
- 2022: $46,465
- 2023: $36,772
- 2024: $31,503
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Paid by Medicare
Paid by Medicare increased 1119% from $1,855 in 2020 to $22,620 in 2024.
- 2020: $1,855
- 2021: $23,527
- 2022: $41,438
- 2023: $29,114
- 2024: $22,620
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 828% from 39 in 2020 to 362 in 2024.
- 2020: 39
- 2021: 114
- 2022: 252
- 2023: 437
- 2024: 362
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30-day fills
30-day fills increased 828% from 39 in 2020 to 362 in 2024.
- 2020: 39
- 2021: 114
- 2022: 252
- 2023: 437
- 2024: 362
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Part D drug cost
Part D drug cost went from $709 in 2020 to $3,120 in 2024.
- 2020: $709
- 2021: $1,378
- 2022: $2,868
- 2023: $4,902
- 2024: $3,120
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2019–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2020–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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139 | 138 | $205.53 | $86.89 |
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87428
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza
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95 | 94 | $150.00 | $67.66 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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43 | 42 | $300.00 | $117.46 |
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81003
Automated urinalysis test
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32 | 30 | $8.00 | $2.20 |
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87880
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
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27 | 27 | $30.00 | $16.20 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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27 | 27 | $302.00 | $106.98 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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24 | 16 | $123.00 | $54.34 |
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71046
X-ray of chest, 2 views
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21 | 21 | $110.00 | $31.79 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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15 | 15 | $458.00 | $159.04 |
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93000
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
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14 | 14 | $48.00 | $13.79 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Prednisone | Prednisone | 58 | 305 | $80.30 | 56 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 46 | 1,033 | $1,211.13 | 35 |
| Fluticasone Propionate | Fluticasone Propionate | 33 | 990 | $300.21 | 27 |
| Doxycycline Monohydrate | Doxycycline Monohydrate | 32 | 224 | $249.66 | 31 |
| Cephalexin | Cephalexin | 28 | 197 | $115.17 | 28 |
| Amoxicillin | Amoxicillin | 23 | 225 | $63.79 | 23 |
| Doxycycline Hyclate | Doxycycline Hyclate | 23 | 157 | $113.65 | 23 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 21 | 204 | $159.06 | 21 |
| Paxlovid | Nirmatrelvir/Ritonavir | 20 | 100 | $0.00 | 20 |
| Meloxicam | Meloxicam | 15 | 395 | $28.08 | 15 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 15 | 91 | $90.19 | 14 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 14 | 212 | $70.46 | 13 |
| Neomycin-Polymyxin-Hc | Neomycin/Polymyxin B/Hydrocort | 12 | 103 | $510.87 | 12 |
| Azithromycin | Azithromycin | 11 | 52 | $44.38 | 11 |
| Mupirocin | Mupirocin | 11 | 256 | $82.67 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-09-20NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20100817001370
NY
8729036652
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
City Medical Of Upper East Side Pllc
3111 Steinway St, Astoria, NY 111033908
Phone: 7184752345
Montefiore Medical Center
111 E 210th St, Bronx, NY 104672401
Phone: 8666338255
City Medical Of Upper East Side Pllc
7425 Grand Ave, Elmhurst, NY 113734126
Phone: 7188032273
Secondary Practice Locations
1065 Southern Blvd
Bronx, NY 104592417
Phone: 7185892440
8000 Utopia Pkwy
Jamaica, NY 114393609
Phone: 7189908404
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 7425 GRAND AVE, ELMHURST, NY 113734126 (Tel: 7188032273)
Registered at 7425 GRAND AVE, ELMHURST, NY 113734126 (Tel: 7188032273)
Physician Assistant (license number reported to NPPES: NY 013496)
NPI status registered as active in NPPES database
Registered at 506 6TH ST, DEPARTMENT OF EMERGENCY MEDICINE, BROOKLYN, NY 112153609 (Tel: 7187803148)
Registered at 551 GRAHAM AVE, APT #2L, BROOKLYN, NY 112224640 (Tel: 3475294894)
Recorded as RALPH CAPRA, PA
Physician Assistant (license number reported to NPPES: CT 001551)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Elmhurst
- Frank Alexopoulos, PA
- Dorit Bamshad, PA-C
- Lauren Drosick, PA
- Emmanuel Agnant, PA
- Kiran Tak, PA-C
- Shane Jacob, PA
Mailing Address
7425 Grand Ave
Elmhurst, NY 113734126
Phone: 7188032273