Physician
Capstone Health Services Foundation PC
Capstone Health Services Foundation PC was paid $136K by Medicaid between Oct 2022 and Dec 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoCAPSTONE HEALTH SERVICES FOUNDATION PC
LIVINGSTON, AL 35470
LIVINGSTON, AL 35470
33aNPI1124763784assigned 04/28/2022
33bProvider typeFamily Medicine Physician
28Total paid$136K
24GClaims2,753
24DCodes billed9
24AFirst – last monthOct 2022 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Alabama
Rank by total paid#174 of 455
Median peer was paid$57K
This provider vs. median2.4×
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 | |
|---|---|---|---|
| 2022 | 113 | $7K | |
| 2023 | 1,295 | $74K | |
| 2024incomplete | 1,345 | $55K |
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 | 45% | 484 | 412 | $61K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 386 | 354 | $35K |
| 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 | 11% | 71 | 69 | $15K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 8.4% | 459 | 446 | $11K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.5% | 271 | 265 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.4% | 321 | 164 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.3% | 29 | 24 | $3K |
| 87400 | 2.1% | 625 | 300 | $3K | |
| 87807 | <1% | 107 | 105 | $1K |
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 officialLUMPKIN, JANNA (CREDENTIALING SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| Capstone Health Services Foundation PC | Demopolis, AL | $780K |
| Capstone Health Services Foundation PC | Carrollton, AL | $77K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.