Physician
Capital Health Multispecialty Group
Capital Health Multispecialty Group was paid $2.02M by Medicaid between Jan 2018 and Nov 2024, across 64 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 16% of everything it billed.
33Billing provider infoCAPITAL HEALTH MULTISPECIALTY GROUP
TRENTON, NJ 08638
TRENTON, NJ 08638
33aNPI1083072342assigned 02/02/2016
33bProvider typePlastic and Reconstructive Surgery Physician
28Total paid$2.02M
24GClaims101,769
24DCodes billed64
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Plastic and Reconstructive Surgery Physician providers in New Jersey
Rank by total paid#1 of 6
Median peer was paid$23K
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
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 | |
|---|---|---|---|
| 2018 | 8,014 | $355K | |
| 2019 | 4,409 | $146K | |
| 2020 | 4,819 | $119K | |
| 2021 | 5,880 | $107K | |
| 2022 | 30,739 | $497K | |
| 2023 | 40,582 | $671K | |
| 2024incomplete | 7,326 | $129K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 16% | 18,999 | 8,235 | $327K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 12% | 10,532 | 5,239 | $239K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 10.0% | 2,055 | 1,625 | $202K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 7.6% | 711 | 592 | $154K |
| 70450 | Computed tomography, head or brain; without contrast material | 7.5% | 7,516 | 6,356 | $152K |
| 99238 | Hospital discharge day management, 30 minutes or less | 6.8% | 2,710 | 2,683 | $137K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 6.3% | 1,908 | 565 | $127K |
| 99460 | 4.8% | 2,076 | 2,066 | $97K | |
| 99223 | Prolong inpt eval add15 m | 3.7% | 2,656 | 2,442 | $75K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 3.7% | 2,665 | 2,364 | $75K |
| 99239 | Hospital discharge day management, more than 30 minutes | 3.2% | 2,821 | 2,609 | $64K |
| 99462 | 2.1% | 1,682 | 1,586 | $42K |
52 more codes
| 71045 | Radiologic examination, chest; single view | 2.1% | 18,726 | $42K |
| 99283 | Emergency room visit (moderate) | 1.9% | 1,619 | $39K |
| 72125 | Computed tomography, cervical spine; without contrast material | 1.7% | 1,562 | $35K |
| 99284 | Emergency room visit (serious) | 1.5% | 991 | $31K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 1.4% | 1,337 | $28K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.3% | 6,447 | $26K |
| 99285 | Emergency room visit (most serious) | <1% | 511 | $15K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 1,504 | $15K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 3,998 | $13K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 693 | $9K |
| 99307 | <1% | 4,382 | $9K | |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 279 | $8K |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 106 | $7K |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 149 | $6K |
| 71250 | <1% | 334 | $6K | |
| 76830 | Ultrasound, transvaginal | <1% | 243 | $6K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 213 | $5K |
| 36573 | <1% | 45 | $3K | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 134 | $3K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 152 | $3K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 373 | $3K |
| 99253 | <1% | 29 | $2K | |
| 70486 | <1% | 79 | $2K | |
| 99217 | <1% | 102 | $2K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 122 | $2K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 169 | $2K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 50 | $1K |
| 59025 | Fetal non-stress test | <1% | 162 | $1K |
| 99254 | <1% | 13 | $1K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 38 | $868.99 |
| 99221 | <1% | 12 | $854.92 | |
| 72131 | <1% | 18 | $748.60 | |
| 76775 | <1% | 45 | $648.80 | |
| 76937 | <1% | 106 | $513.28 | |
| 99220 | <1% | 20 | $474.38 | |
| 70496 | <1% | 18 | $465.49 | |
| 73130 | <1% | 104 | $412.68 | |
| 73564 | <1% | 68 | $379.98 | |
| 71271 | <1% | 28 | $347.62 | |
| 36410 | <1% | 41 | $329.81 | |
| 76642 | <1% | 28 | $327.11 | |
| 73610 | <1% | 86 | $323.50 | |
| 76801 | <1% | 14 | $308.00 | |
| 73630 | <1% | 69 | $283.34 | |
| 93970 | <1% | 21 | $264.00 | |
| 74018 | <1% | 69 | $191.68 | |
| 77080 | <1% | 41 | $153.87 | |
| 99306 | Prolong nursin fac eval 15m | <1% | 14 | $133.56 |
| 73030 | <1% | 33 | $106.18 | |
| 93971 | <1% | 14 | $72.00 | |
| 73110 | <1% | 14 | $59.40 | |
| 73590 | <1% | 13 | $39.81 |
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 officialFLEMING, SHANE (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Capital Health Medical Group | Trenton, NJ | $19.25M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.