Agency
Capitol Care, INC.
Capitol Care, INC. was paid $364K by Medicaid between Jan 2018 and Apr 2019, across 4 billing codes. Its largest line is H0035, Mental health partial hospitalization, treatment, less than 24 hours — 97% of everything it billed.
33Billing provider infoCAPITOL CARE, INC.
SOMERSET, NJ 08873
SOMERSET, NJ 08873
33aNPI1215292974assigned 07/09/2012
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$364K
24GClaims5,808
24DCodes billed4
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers
Next to other Community/Behavioral Health Agency providers in New Jersey
Rank by total paid#294 of 446
Median peer was paid$1.09M
This provider vs. median0.3×
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 | 3,503 | $285K | |
| 2019 | 2,305 | $79K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0035 | Mental health partial hospitalization, treatment, less than 24 hours | 97% | 4,320 | 494 | $353K |
| A0090 | Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest | 1.6% | 733 | 96 | $6K |
| A0425 | Ground mileage, per statute mile | <1% | 731 | 96 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 24 | 22 | $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.
From NPPES
Who's on the registration
Authorized officialLUTZ, ANDREW (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Capitol Care, INC. | Stanhope, NJ | $50.31M |
| Capitol Care INC. | Stanhope, NJ | $427K |
| Capitol Care INC. | Bound Brook, NJ | $160.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.