NP / PA
Capital Family Physicians PSC
Capital Family Physicians PSC was paid $805K by Medicaid between Jan 2018 and Nov 2021, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.
33Billing provider infoCAPITAL FAMILY PHYSICIANS PSC
FRANKFORT, KY 40601
FRANKFORT, KY 40601
33aNPI1104933126assigned 08/24/2006
33bProvider typePhysician Assistant
28Total paid$805K
24GClaims29,259
24DCodes billed27
24AFirst – last monthJan 2018 – Nov 2021
Compared with peers
Next to other Physician Assistant providers in Kentucky
Rank by total paid#60 of 214
Median peer was paid$134K
This provider vs. median6.0×
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 | 8,507 | $213K | |
| 2019 | 6,449 | $182K | |
| 2020 | 7,744 | $211K | |
| 2021 | 6,559 | $200K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 52% | 12,158 | 9,373 | $421K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 9,780 | 7,537 | $282K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 5.2% | 829 | 637 | $42K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.1% | 2,197 | 1,332 | $9K |
| 80061 | Lipid panel | 1.0% | 940 | 823 | $8K |
| 80053 | Comprehensive metabolic panel | <1% | 814 | 732 | $7K |
| 80050 | General health panel | <1% | 114 | 93 | $4K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 269 | 243 | $4K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 76 | 60 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 281 | 123 | $4K |
| 99441 | <1% | 89 | 77 | $3K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 40 | 38 | $3K |
15 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 352 | $2K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 155 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 397 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 139 | $2K |
| 84439 | <1% | 255 | $1K | |
| 93000 | <1% | 97 | $992.92 | |
| 90688 | <1% | 59 | $585.30 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 49 | $528.29 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 38 | $428.22 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 16 | $403.47 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 16 | $256.34 |
| 82607 | <1% | 25 | $247.48 | |
| 82550 | <1% | 44 | $186.79 | |
| 80305 | <1% | 12 | $135.64 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 18 | $73.48 |
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 officialCRUM, STEVEN (PRESIDENT)