Capstone Orthopedic, INC.
Capstone Orthopedic, INC. was paid $82K by Medicaid between Jan 2018 and Sep 2024, across 5 billing codes. Its largest line is A5500, For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe — 51% of everything it billed.
SALINAS, CA 93901
Next to other Durable Medical Equipment & Medical Supplies providers in California
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 434 | $21K | |
| 2019 | 506 | $20K | |
| 2020 | 317 | $20K | |
| 2022 | 38 | $2K | |
| 2023 | 83 | $14K | |
| 2024incomplete | 54 | $4K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A5500 | For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe | 51% | 883 | 686 | $41K |
| L3000 | Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each | 23% | 70 | 42 | $19K |
| A5513 | For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each | 21% | 387 | 375 | $17K |
| A5514 | For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each | 2.7% | 80 | 43 | $2K |
| A6549 | Gradient compression garment, not otherwise specified, for daytime use, each | 2.1% | 12 | 12 | $2K |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.