Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Halbert C Capuy MD PC

Halbert C Capuy MD PC was paid $491K by Medicaid between Jan 2018 and Nov 2023, across 59 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.

33Billing provider infoHALBERT C CAPUY MD PC
AUGUSTA, GA 30909
33aNPI1063531283assigned 03/28/2007
28Total paid$491K
24GClaims33,425
24DCodes billed59
24AFirst – last monthJan 2018 – Nov 2023
Compared with peers

Next to other Family Medicine Physician providers in Georgia

Rank by total paid#21 of 162
Median peer was paid$12K
This provider vs. median40×

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$20K$40K2018201920202021202220232024
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
20186,009$199K
201913,738$139K
20209,723$111K
20213,652$39K
2022110$2K
2023193$185.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 44% 2,675 2,428 $214K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12% 650 594 $60K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 11% 580 524 $52K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 8.6% 774 660 $42K
90460 Immunization administration through 18 years of age via any route, first or only component 6.7% 1,560 1,430 $33K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6.6% 410 337 $32K
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 4.7% 240 215 $23K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3.5% 186 171 $17K
90472 Immunization administration, each additional vaccine (list separately) 1.7% 592 550 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 213 208 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 156 142 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 69 58 $911.96
47 more codes
83655 <1% 133 $725.33
92567 <1% 30 $538.10
99173 <1% 1,089 $500.18
99429 <1% 56 $480.00
85018 <1% 945 $371.50
94664 <1% 25 $223.42
92551 <1% 567 $134.88
96127 <1% 34 $81.90
97802 <1% 599 $0.79
2001F 0% 3,245 $0.00
36416 0% 729 $0.00
2000F 0% 1,681 $0.00
3008F 0% 1,943 $0.00
2010F 0% 3,296 $0.00
1220F 0% 54 $0.00
3074F 0% 1,289 $0.00
96161 0% 198 $0.00
Q3014 Telehealth originating site facility fee 0% 369 $0.00
90647 0% 259 $0.00
90723 0% 283 $0.00
1031F 0% 220 $0.00
1000F 0% 76 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 0% 156 $0.00
90716 0% 133 $0.00
90686 0% 137 $0.00
1030F 0% 13 $0.00
4037F 0% 144 $0.00
1036F 0% 84 $0.00
90657 0% 13 $0.00
90651 0% 27 $0.00
90696 0% 12 $0.00
90633 0% 85 $0.00
3455F 0% 1,473 $0.00
3078F 0% 1,267 $0.00
1159F 0% 1,634 $0.00
90670 0% 457 $0.00
1160F 0% 1,550 $0.00
90707 0% 112 $0.00
90681 0% 17 $0.00
82465 0% 269 $0.00
4040F 0% 195 $0.00
81003 0% 316 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 0% 16 $0.00
90734 0% 20 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 13 $0.00
3725F 0% 14 $0.00
97803 0% 43 $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.

From NPPES

Who's on the registration

Authorized officialCAPUY, HALBERT (OWNER)