Capparelli, Edward

Capparelli, Edward was paid $101K by Medicaid between Jan 2018 and Dec 2020, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.

33Billing provider infoCAPPARELLI, EDWARD
ONEIDA, TN 37841

33aNPI1275504326assigned 01/27/2006

33bProvider typeFamily Medicine Physician

28Total paid$101K

24GClaims5,720

24DCodes billed14

24AFirst – last monthJan 2018 – Dec 2020

Compared with peers

Next to other Family Medicine Physician providers in Tennessee

Rank by total paid#244 of 754

Median peer was paid$34K

This provider vs. median3.0×

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	1,316	$23K
2019	2,538	$47K
2020	1,866	$32K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	49%	1,389	1,102	$50K
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	31%	957	747	$32K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	7.2%	591	454	$7K
80305		3.4%	1,770	1,030	$3K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	3.4%	133	120	$3K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.8%	357	287	$2K
J0558	Injection, penicillin g benzathine and penicillin g procaine, 100,000 units	1.4%	14	12	$1K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.2%	166	71	$1K
96127		<1%	181	73	$394.73
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	14	12	$197.47
G0179	Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	<1%	27	27	$144.28
71046	Radiologic examination, chest; 2 views	<1%	13	12	$132.12

2 more codes

J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	44	$56.71
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	64	$37.92

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.