Clinic
Capitol City Family Health Center Incorporated
Capitol City Family Health Center Incorporated was paid $21.54M by Medicaid between Jan 2018 and Dec 2024, across 124 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 73% of everything it billed.
33Billing provider infoCAPITOL CITY FAMILY HEALTH CENTER INCORPORATED
BATON ROUGE, LA 70806
BATON ROUGE, LA 70806
33aNPI1265548614assigned 08/21/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$21.54M
24GClaims470,837
24DCodes billed124
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Louisiana
Rank by total paid#6 of 272
Median peer was paid$574K
This provider vs. median38×
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 | 52,593 | $2.62M | |
| 2019 | 62,722 | $2.88M | |
| 2020 | 56,531 | $2.82M | |
| 2021 | 76,234 | $3.05M | |
| 2022 | 73,148 | $3.36M | |
| 2023 | 86,181 | $3.61M | |
| 2024incomplete | 63,428 | $3.21M |
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 | 73% | 130,546 | 98,885 | $15.65M |
| H2020 | Therapeutic behavioral services, per diem | 17% | 36,193 | 23,276 | $3.68M |
| D0999 | Unspecified diagnostic procedure, by report | 9.8% | 26,174 | 17,308 | $2.11M |
| D0330 | Panoramic radiographic image | <1% | 10,071 | 6,920 | $39K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 4,446 | 1,884 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 6,917 | 4,798 | $18K |
| D0140 | Limited oral evaluation - problem focused | <1% | 2,457 | 1,819 | $6K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 655 | 349 | $4K |
| D0274 | Bitewings - four radiographic images | <1% | 5,676 | 3,861 | $3K |
| D1110 | Prophylaxis - adult | <1% | 1,022 | 721 | $3K |
| 99051 | <1% | 109 | 97 | $2K | |
| 3044F | <1% | 3,496 | 3,063 | $2K |
112 more codes
| 0011A | <1% | 598 | $2K | |
| 71015 | <1% | 95 | $2K | |
| D0120 | Dental checkup, returning patient | <1% | 970 | $1K |
| 0012A | <1% | 581 | $1K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 207 | $851.55 |
| 0001A | <1% | 118 | $724.96 | |
| 3077F | <1% | 2,848 | $525.00 | |
| 3079F | <1% | 3,835 | $485.00 | |
| 3080F | <1% | 1,892 | $360.00 | |
| 98960 | <1% | 163 | $325.32 | |
| 3074F | <1% | 2,884 | $290.00 | |
| D4341 | <1% | 111 | $228.06 | |
| 99050 | <1% | 33 | $197.18 | |
| 3075F | <1% | 1,613 | $195.00 | |
| 3078F | <1% | 1,676 | $185.00 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 176 | $89.05 |
| 0013A | <1% | 154 | $72.08 | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 54,351 | $66.54 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 51 | $34.72 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14,412 | $24.86 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 7,686 | $0.07 |
| 92551 | <1% | 6,500 | $0.05 | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 6,923 | $0.03 |
| 81000 | <1% | 4,462 | $0.02 | |
| 99173 | <1% | 5,942 | $0.02 | |
| 36416 | <1% | 247 | $0.01 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 29,266 | $0.01 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 859 | $0.01 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 736 | $0.01 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 1,215 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 2,009 | $0.00 |
| 99383 | 0% | 12 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 11,176 | $0.00 |
| 3008F | 0% | 17,948 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 1,903 | $0.00 |
| G0467 | Community health center visit, returning patient | 0% | 887 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 5,041 | $0.00 |
| 85018 | 0% | 3,497 | $0.00 | |
| 93000 | 0% | 117 | $0.00 | |
| 90686 | 0% | 364 | $0.00 | |
| 90674 | 0% | 29 | $0.00 | |
| 96127 | 0% | 1,502 | $0.00 | |
| 91301 | 0% | 1,226 | $0.00 | |
| 1126F | 0% | 501 | $0.00 | |
| 87808 | 0% | 335 | $0.00 | |
| 93922 | 0% | 42 | $0.00 | |
| 99385 | 0% | 171 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 32 | $0.00 |
| 1125F | 0% | 34 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 916 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 45 | $0.00 |
| 90723 | 0% | 40 | $0.00 | |
| 99381 | 0% | 34 | $0.00 | |
| 1036F | 0% | 606 | $0.00 | |
| 99384 | 0% | 36 | $0.00 | |
| 90688 | 0% | 88 | $0.00 | |
| 99000 | 0% | 13 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 33 | $0.00 |
| 90732 | 0% | 37 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 125 | $0.00 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 102 | $0.00 |
| D9999 | Unspecified adjunctive procedure, by report | 0% | 29 | $0.00 |
| 99386 | 0% | 12 | $0.00 | |
| 90656 | 0% | 28 | $0.00 | |
| 80053 | Comprehensive metabolic panel | 0% | 37 | $0.00 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 18 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 40 | $0.00 |
| 99406 | 0% | 13 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 26 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 10,724 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 694 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 5,881 | $0.00 |
| 81025 | 0% | 1,255 | $0.00 | |
| D9110 | 0% | 320 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 492 | $0.00 |
| 11056 | 0% | 253 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 95 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 5,126 | $0.00 |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 0% | 1,070 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 743 | $0.00 |
| 3725F | 0% | 3,096 | $0.00 | |
| 90715 | 0% | 248 | $0.00 | |
| 82947 | 0% | 1,344 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 470 | $0.00 |
| 1160F | 0% | 1,013 | $0.00 | |
| 90756 | 0% | 164 | $0.00 | |
| 90658 | 0% | 777 | $0.00 | |
| 87905 | 0% | 516 | $0.00 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 1,264 | $0.00 |
| 87210 | 0% | 53 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 4,281 | $0.00 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 847 | $0.00 |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 0% | 170 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 167 | $0.00 |
| 96160 | 0% | 423 | $0.00 | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 0% | 110 | $0.00 |
| 90633 | 0% | 112 | $0.00 | |
| 91300 | 0% | 99 | $0.00 | |
| 99401 | 0% | 51 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 435 | $0.00 |
| 2028F | 0% | 145 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 200 | $0.00 |
| 86328 | 0% | 144 | $0.00 | |
| 80061 | Lipid panel | 0% | 18 | $0.00 |
| 99201 | 0% | 251 | $0.00 | |
| 90648 | 0% | 75 | $0.00 | |
| 90710 | 0% | 12 | $0.00 | |
| 90670 | 0% | 120 | $0.00 | |
| 81002 | 0% | 46 | $0.00 | |
| 3046F | 0% | 12 | $0.00 | |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 0% | 24 | $0.00 |
| 0002A | 0% | 27 | $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 (BILLING/CREDENTIALING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Capitol City Family Health Center Incorporated | Plaquemine, LA | $3.09M |
| Capitol City Family Health Center Incorporated | Donaldsonville, LA | $2.35M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.