NP / PA
Capone, Vincent
Capone, Vincent was paid $107K by Medicaid between Jul 2023 and Dec 2024, across 8 billing codes. Its largest line is S9088, Services provided in an urgent care center (list in addition to code for service) — 35% of everything it billed.
33Billing provider infoCAPONE, VINCENT
ALTOONA, PA 16601
ALTOONA, PA 16601
33aNPI1215133665assigned 06/22/2007
33bProvider typePhysician Assistant
28Total paid$107K
24GClaims2,484
24DCodes billed8
24AFirst – last monthJul 2023 – Dec 2024
Compared with peers
Next to other Physician Assistant providers in Pennsylvania
Rank by total paid#59 of 511
Median peer was paid$7K
This provider vs. median16×
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 | |
|---|---|---|---|
| 2023 | 808 | $33K | |
| 2024incomplete | 1,676 | $74K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 35% | 1,104 | 1,090 | $38K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 706 | 694 | $37K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 14% | 192 | 192 | $15K |
| 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 | 6.5% | 87 | 85 | $7K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 5.8% | 191 | 190 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.6% | 141 | 140 | $2K |
| 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 | 1.4% | 12 | 12 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 51 | 50 | $567.00 |
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.