Joseph M Capo MD PC

Joseph M Capo MD PC was paid $93K by Medicaid between Sep 2021 and Nov 2024, across 11 billing codes. Its largest line is 31231, — 50% of everything it billed.

33Billing provider infoJOSEPH M CAPO MD PC
LEVITTOWN, NY 11756

33aNPI1063488658assigned 02/24/2006

33bProvider typeOtolaryngology Physician

28Total paid$93K

24GClaims1,146

24DCodes billed11

24AFirst – last monthSep 2021 – Nov 2024

Compared with peers

Next to other Otolaryngology Physician providers in New York

Rank by total paid#74 of 302

Median peer was paid$10K

This provider vs. median9.2×

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

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

Year	Claims	Paid
2021	98	$8K
2022	306	$30K
2023	396	$36K
2024incomplete	346	$19K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
31231		50%	374	355	$47K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	21%	160	160	$20K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	12%	138	138	$11K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	6.7%	96	92	$6K
92587		2.9%	92	91	$3K
92557		2.7%	91	90	$3K
92550		1.8%	119	117	$2K
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	<1%	13	13	$892.71
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	25	12	$666.71
69210		<1%	14	13	$498.69
95117		<1%	24	13	$190.72

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.

From NPPES

Who's on the registration

Authorized officialCAPO, JOSEPH (DOCTOR)