Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Amherst › NPI 1053475939
Physician

Capote, Horacio

Capote, Horacio was paid $694K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 65% of everything it billed.

33Billing provider infoCAPOTE, HORACIO
AMHERST, NY 14226
33aNPI1053475939assigned 12/21/2006
33bProvider typePsychiatry Physician
28Total paid$694K
24GClaims38,460
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Psychiatry Physician providers in New York

Rank by total paid#53 of 1,033
Median peer was paid$8K
This provider vs. median90×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20184,239$57K
20196,392$81K
20204,767$74K
20214,943$80K
20224,797$98K
20236,002$148K
2024incomplete7,320$156K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 65% 14,853 14,578 $450K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19% 6,037 6,005 $133K
90792 Psychiatric diagnostic evaluation with medical services 5.7% 699 692 $40K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 3.1% 1,471 1,444 $22K
99442 2.8% 851 839 $19K
99441 2.0% 997 986 $14K
96127 1.4% 11,010 10,620 $10K
90785 <1% 824 809 $3K
99443 <1% 61 61 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 204 191 $1K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 0% 1,453 1,418 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.