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

Capstone Medical Resources, LLC

Capstone Medical Resources, LLC was paid $585K by Medicaid between Apr 2018 and Oct 2018, across 8 billing codes. Its largest line is 96116, — 42% of everything it billed.

33Billing provider infoCAPSTONE MEDICAL RESOURCES, LLC
VESTAVIA, AL 35243
33aNPI1104364074assigned 02/10/2017
33bProvider typeClinical Psychologist
28Total paid$585K
24GClaims6,357
24DCodes billed8
24AFirst – last monthApr 2018 – Oct 2018
Compared with peers

Next to other Clinical Psychologist providers in Alabama

Rank by total paid#6 of 25
Median peer was paid$107K
This provider vs. median5.5×

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$50K$100K$150K2018201920202021202220232024
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
20186,357$585K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
96116 42% 2,053 1,147 $244K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 22% 1,860 1,060 $127K
90847 Family psychotherapy with the patient present, 50 minutes 22% 1,843 1,066 $126K
96101 11% 238 226 $62K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 3.8% 240 226 $23K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient <1% 98 79 $3K
90846 Family psychotherapy without the patient present, 50 minutes <1% 12 12 $522.00
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 13 12 $466.12

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 officialWALTZ, SHARON (CEO)