Clinic
Capitol City Family Health Center Incorporated
Capitol City Family Health Center Incorporated was paid $2.35M by Medicaid between Jan 2018 and Dec 2024, across 53 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 67% of everything it billed.
33Billing provider infoCAPITOL CITY FAMILY HEALTH CENTER INCORPORATED
DONALDSONVILLE, LA 70346
DONALDSONVILLE, LA 70346
33aNPI1235486226assigned 08/08/2012
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.35M
24GClaims38,910
24DCodes billed53
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Louisiana
Rank by total paid#68 of 272
Median peer was paid$574K
This provider vs. median4.1×
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 | 6,290 | $375K | |
| 2019 | 7,316 | $406K | |
| 2020 | 5,376 | $387K | |
| 2021 | 5,164 | $338K | |
| 2022 | 5,045 | $264K | |
| 2023 | 6,193 | $332K | |
| 2024incomplete | 3,526 | $244K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 67% | 12,817 | 9,468 | $1.57M |
| D0999 | Unspecified diagnostic procedure, by report | 20% | 3,640 | 3,205 | $466K |
| H2020 | Therapeutic behavioral services, per diem | 13% | 2,654 | 1,781 | $311K |
| D0330 | Panoramic radiographic image | <1% | 947 | 887 | $748.48 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 626 | 589 | $116.52 |
| D0274 | Bitewings - four radiographic images | <1% | 464 | 453 | $83.64 |
| 3079F | <1% | 122 | 108 | $25.00 | |
| 3074F | <1% | 124 | 108 | $25.00 | |
| 3077F | <1% | 81 | 66 | $20.00 | |
| 3078F | <1% | 53 | 49 | $15.00 | |
| 3044F | <1% | 71 | 53 | $10.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 2,435 | 2,020 | $0.00 |
41 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 454 | $0.00 |
| 3725F | 0% | 272 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 75 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 529 | $0.00 |
| 81025 | 0% | 866 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 189 | $0.00 |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 0% | 32 | $0.00 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 313 | $0.00 |
| 87210 | 0% | 230 | $0.00 | |
| 90756 | 0% | 79 | $0.00 | |
| 82947 | 0% | 48 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 74 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 57 | $0.00 |
| 1160F | 0% | 74 | $0.00 | |
| 99173 | 0% | 69 | $0.00 | |
| 81002 | 0% | 82 | $0.00 | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 0% | 36 | $0.00 |
| 90658 | 0% | 29 | $0.00 | |
| 90715 | 0% | 20 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 5,173 | $0.00 |
| 81000 | 0% | 446 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 1,039 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 764 | $0.00 |
| 3008F | 0% | 2,088 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 542 | $0.00 |
| 92551 | 0% | 32 | $0.00 | |
| 85018 | 0% | 215 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 393 | $0.00 |
| 1036F | 0% | 23 | $0.00 | |
| 1126F | 0% | 42 | $0.00 | |
| 90686 | 0% | 70 | $0.00 | |
| 36416 | 0% | 14 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 70 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 65 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 197 | $0.00 |
| 3080F | 0% | 18 | $0.00 | |
| 91301 | 0% | 73 | $0.00 | |
| 90674 | 0% | 15 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 27 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 29 | $0.00 |
| 0012A | 0% | 13 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialNELSON, KENYA (FRONT OFFICE/BILLING MANAGER)
Parent organizationCAPITOL CITY FAMILY HEALTH CENTER INCORPORATED
| Provider | Location | Paid |
|---|---|---|
| Capitol City Family Health Center Incorporated | Baton Rouge, LA | $21.54M |
| Capitol City Family Health Center Incorporated | Plaquemine, LA | $3.09M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.