Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Capital Health System INC

Capital Health System INC was paid $114.53M by Medicaid between Jan 2018 and Dec 2024, across 330 billing codes. Its largest line is 99283, emergency room visit (moderate) — 22% of everything it billed.

33Billing provider infoCAPITAL HEALTH SYSTEM INC
TRENTON, NJ 08638
33aNPI1275583726assigned 05/12/2006
28Total paid$114.53M
24GClaims1,400,639
24DCodes billed330
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in New Jersey

Rank by total paid#17 of 93
Median peer was paid$30.60M
This provider vs. median3.7×

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

$0$1.0M$2.0M$3.0M2018201920202021202220232024
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
YearClaimsPaid
2018181,837$16.45M
2019184,771$15.41M
2020159,325$12.31M
2021182,909$13.82M
2022200,764$14.79M
2023277,233$21.16M
2024incomplete213,800$20.61M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 22% 65,889 58,815 $25.07M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 22% 70,012 60,750 $24.81M
S9480 Intensive outpatient psychiatric services, per diem 7.8% 10,652 9,378 $8.98M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 6.2% 20,722 18,353 $7.11M
99282 Emergency department visit for the evaluation and management, low to moderate severity 5.3% 20,181 18,484 $6.05M
G0378 Hospital observation service, per hour 4.4% 6,483 5,317 $5.02M
A0427 Emergency ambulance ride, advanced life supportAmbulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 2.9% 15,576 14,070 $3.31M
T2034 Crisis intervention, waiver; per diem 2.5% 3,412 3,244 $2.87M
74177 Computed tomography, abdomen and pelvis; with contrast material 1.8% 7,381 7,079 $2.01M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.4% 25,615 16,942 $1.66M
70450 Computed tomography, head or brain; without contrast material 1.2% 13,682 12,700 $1.43M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.1% 2,608 2,503 $1.23M
318 more codes
H0035 Mental health partial hospitalization, treatment, less than 24 hours <1% 3,343 $1.06M
A0429 Emergency ambulance ride, basic life support <1% 6,094 $853K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 843 $771K
99241 <1% 10,296 $764K
36415 Collection of venous blood by venipuncture <1% 72,226 $750K
77067 Screening mammography, bilateral, including computer-aided detection <1% 2,228 $732K
71046 Radiologic examination, chest; 2 views <1% 15,357 $644K
93017 <1% 1,301 $617K
A0434 Specialty care transport (sct) <1% 1,521 $617K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 3,173 $567K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 13,628 $546K
93970 <1% 1,646 $520K
72125 Computed tomography, cervical spine; without contrast material <1% 5,018 $516K
OP250 <1% 30,689 $483K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 61,736 $462K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 18,245 $420K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 2,446 $411K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 30,011 $409K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 677 $378K
73564 <1% 3,796 $368K
76830 Ultrasound, transvaginal <1% 1,587 $362K
A0425 Ground mileage, per statute mile <1% 26,224 $345K
S9484 Crisis intervention mental health services, per hour <1% 435 $329K
70486 <1% 2,091 $315K
96375 Therapeutic injection; each additional sequential IV push <1% 19,557 $314K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 11,694 $301K
OP272 <1% 17,996 $295K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 1,172 $286K
72110 <1% 1,683 $280K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 13,088 $278K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 1,494 $274K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 19,920 $270K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 33,940 $267K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 9,592 $254K
93971 <1% 2,117 $239K
OP379 <1% 2,363 $229K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 9,195 $229K
80053 Comprehensive metabolic panel <1% 49,578 $223K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 108 $211K
99242 <1% 2,829 $207K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 2,359 $203K
73130 <1% 3,148 $191K
A0433 Advanced life support, level 2 (als 2) <1% 713 $184K
73030 <1% 3,298 $184K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 10,068 $182K
76801 <1% 990 $178K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 671 $175K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,323 $172K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 9,458 $171K
71250 <1% 1,000 $159K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 9,793 $146K
70551 Magnetic resonance imaging, brain; without contrast material <1% 446 $142K
73610 <1% 3,022 $141K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 4,139 $140K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 3,294 $136K
73630 <1% 3,317 $134K
82948 <1% 25,829 $133K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 1,511 $119K
71045 Radiologic examination, chest; single view <1% 16,725 $106K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 10,948 $105K
73502 <1% 1,617 $103K
72131 <1% 689 $98K
80048 Basic metabolic panel (calcium, ionized) <1% 23,152 $89K
84484 <1% 20,960 $82K
76937 <1% 995 $81K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 5,544 $78K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 755 $78K
OP271 <1% 3,457 $75K
73110 <1% 1,862 $75K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 85 $71K
90792 Psychiatric diagnostic evaluation with medical services <1% 2,677 $70K
86850 <1% 6,153 $69K
73590 <1% 1,162 $66K
87086 Culture, bacterial; quantitative colony count, urine <1% 13,846 $64K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 91 $64K
80051 <1% 4,963 $64K
90714 <1% 2,883 $61K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 43 $61K
72100 <1% 745 $58K
90863 <1% 769 $58K
81001 <1% 31,114 $57K
99214 Doctor's office visit, returning patient (more involved) <1% 713 $55K
95811 <1% 41 $53K
87070 <1% 8,539 $53K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 37 $52K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 174 $52K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 1,776 $51K
12001 <1% 1,412 $50K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 1,176 $49K
86480 <1% 979 $46K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 3,337 $45K
C1769 Guide wire <1% 1,343 $44K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,542 $44K
A0428 Ambulance service, basic life support, non-emergency transport, (bls) <1% 2,603 $43K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 5,076 $41K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants <1% 209 $41K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 4,069 $39K
86900 <1% 6,435 $39K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,271 $38K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 20,241 $38K
73090 <1% 635 $38K
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 <1% 2,693 $37K
85610 <1% 15,608 $37K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 139 $37K
73562 <1% 1,227 $36K
12011 <1% 930 $36K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 2,951 $35K
81002 <1% 21,911 $35K
84443 Thyroid stimulating hormone (TSH) <1% 3,376 $35K
73080 <1% 890 $34K
83880 <1% 4,513 $33K
87480 <1% 3,432 $33K
85730 <1% 13,165 $32K
J2785 Injection, regadenoson, 0.1 mg <1% 359 $32K
83690 <1% 16,111 $31K
85027 <1% 13,401 $31K
76536 <1% 124 $30K
96376 <1% 3,496 $30K
OP270 <1% 2,678 $30K
36902 <1% 38 $30K
OP258 <1% 2,552 $29K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 268 $29K
G0008 Administration of influenza virus vaccine <1% 1,881 $29K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 6,106 $28K
87077 <1% 5,107 $28K
84702 <1% 3,848 $28K
87400 <1% 3,570 $27K
J2060 Injection, lorazepam, 2 mg <1% 5,293 $27K
90715 <1% 3,703 $27K
J1644 Injection, heparin sodium, per 1000 units <1% 4,933 $27K
87660 <1% 3,428 $26K
87510 <1% 3,430 $26K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 25 $26K
72050 <1% 148 $25K
87040 <1% 3,469 $25K
73140 <1% 1,214 $24K
J1630 Injection, haloperidol, up to 5 mg <1% 3,356 $23K
97161 <1% 1,236 $23K
J1650 Injection, enoxaparin sodium, 10 mg <1% 1,301 $23K
83605 <1% 5,444 $23K
10060 <1% 438 $22K
J3490 Unclassified drugs <1% 2,756 $21K
86901 <1% 6,440 $21K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 789 $20K
81401 <1% 277 $20K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) <1% 332 $20K
83735 <1% 11,152 $20K
74018 <1% 609 $20K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 5,609 $18K
J2704 Injection, propofol, 10 mg <1% 2,047 $17K
94729 <1% 250 $17K
90686 <1% 1,517 $17K
97010 <1% 6,701 $16K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 5,224 $16K
83036 Hemoglobin; glycosylated (A1C) <1% 4,308 $16K
86803 <1% 1,016 $16K
82728 <1% 1,605 $15K
J2270 Injection, morphine sulfate, up to 10 mg <1% 7,462 $15K
87186 <1% 3,231 $14K
70498 <1% 105 $14K
70496 <1% 72 $14K
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 209 $13K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 814 $13K
97165 <1% 961 $13K
12002 <1% 239 $13K
80061 Lipid panel <1% 1,786 $12K
76770 <1% 56 $12K
96367 <1% 785 $12K
94375 <1% 256 $12K
85007 <1% 8,939 $12K
85379 <1% 2,905 $12K
29125 <1% 634 $11K
J0690 Injection, cefazolin sodium, 500 mg <1% 1,824 $11K
94760 <1% 1,968 $11K
97162 <1% 626 $10K
96361 Intravenous infusion, hydration; each additional hour <1% 1,696 $10K
72128 <1% 115 $10K
83021 <1% 484 $10K
90678 <1% 56 $10K
29540 <1% 782 $10K
80076 <1% 2,924 $9K
94726 <1% 178 $9K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 4,250 $9K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 275 $9K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 2,885 $9K
90935 Hemodialysis procedure with single evaluation by a physician <1% 80 $9K
86787 <1% 685 $8K
94200 <1% 246 $8K
94664 <1% 244 $8K
82805 <1% 1,584 $8K
82550 <1% 2,596 $8K
86140 <1% 1,856 $7K
81003 <1% 2,790 $7K
80164 <1% 983 $6K
97535 Self-care/home management training, each 15 minutes <1% 1,216 $6K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 4,243 $6K
81511 <1% 75 $6K
73552 <1% 194 $6K
70491 <1% 26 $6K
29530 <1% 379 $6K
87340 <1% 1,192 $5K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 387 $5K
90675 <1% 29 $5K
97116 <1% 1,403 $5K
72040 <1% 97 $5K
86702 <1% 333 $5K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 289 $5K
86701 <1% 333 $4K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 509 $4K
73060 <1% 104 $4K
82565 <1% 5,007 $4K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 694 $4K
76870 <1% 41 $4K
84439 <1% 911 $4K
J1170 Injection, hydromorphone, up to 4 mg <1% 3,759 $4K
81025 <1% 1,006 $3K
84520 <1% 4,957 $3K
87807 <1% 775 $3K
J0360 Injection, hydralazine hcl, up to 20 mg <1% 730 $3K
82248 <1% 825 $3K
88142 <1% 159 $3K
74021 <1% 319 $3K
87081 <1% 279 $3K
88342 <1% 164 $2K
84100 <1% 2,731 $2K
86762 <1% 664 $2K
J3475 Injection, magnesium sulfate, per 500 mg <1% 1,571 $2K
71101 <1% 85 $2K
85049 <1% 413 $2K
85651 <1% 1,054 $2K
97164 <1% 46 $2K
85014 <1% 1,589 $2K
90658 <1% 118 $2K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 169 $2K
85018 <1% 1,396 $2K
84145 <1% 455 $2K
96368 <1% 80 $2K
87205 <1% 525 $2K
86592 <1% 1,816 $2K
82247 <1% 652 $1K
29130 <1% 77 $1K
94762 <1% 26 $1K
J3480 Injection, potassium chloride, per 2 meq <1% 370 $1K
A9577 Injection, gadobenate dimeglumine (multihance), per ml <1% 143 $1K
76775 <1% 12 $1K
82950 <1% 362 $1K
74022 <1% 194 $1K
71271 <1% 16 $1K
OP279 <1% 152 $1K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 660 $1K
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting <1% 43 $1K
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals <1% 42 $1K
J0500 Injection, dicyclomine hcl, up to 20 mg <1% 315 $1K
82330 <1% 55 $1K
97166 <1% 108 $989.90
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 15 $905.99
J1940 Injection, furosemide, up to 20 mg <1% 618 $894.31
84703 <1% 614 $892.54
94761 <1% 197 $772.70
OP229 <1% 15 $769.95
51701 <1% 40 $699.25
29515 <1% 82 $637.83
85041 <1% 427 $573.35
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals <1% 14 $547.04
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting <1% 14 $547.04
84132 <1% 668 $521.38
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 26 $504.46
84460 <1% 225 $501.26
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 12 $495.25
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 475 $485.28
84450 <1% 189 $482.46
99204 Doctor's office visit, new patient (more involved) <1% 13 $480.26
73620 <1% 18 $439.60
G0432 Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening <1% 40 $430.37
99201 <1% 12 $414.31
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 13 $402.62
73660 <1% 51 $395.99
88304 <1% 13 $363.86
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml <1% 60 $363.02
82570 <1% 174 $295.28
J2310 Injection, naloxone hydrochloride, per 1 mg <1% 151 $288.06
83615 <1% 140 $263.98
J0780 Injection, prochlorperazine, up to 10 mg <1% 27 $246.95
J0692 Injection, cefepime hydrochloride, 500 mg <1% 34 $207.56
J3370 Injection, vancomycin hcl, 500 mg <1% 409 $193.48
84550 <1% 96 $189.58
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 280 $189.27
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 112 $189.15
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg <1% 544 $172.45
J1790 Injection, droperidol, up to 5 mg <1% 461 $168.82
74019 <1% 26 $152.81
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring <1% 19 $147.74
J1094 Injection, dexamethasone acetate, 1 mg <1% 123 $139.59
82607 <1% 41 $134.32
83540 <1% 131 $133.14
72170 <1% 12 $129.18
83550 <1% 83 $124.84
82043 <1% 12 $124.06
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 29 $116.66
82150 <1% 16 $116.43
86706 <1% 12 $113.97
82105 <1% 12 $98.24
Q9957 Injection, perflutren lipid microspheres, per ml <1% 49 $89.72
90656 <1% 19 $81.19
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 29 $78.13
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 20 $76.64
C1887 Catheter, guiding (may include infusion/perfusion capability) <1% 16 $72.13
J0456 Injection, azithromycin, 500 mg <1% 33 $57.88
85384 <1% 36 $51.92
84156 <1% 13 $21.78
84295 <1% 91 $21.61
J3105 Injection, terbutaline sulfate, up to 1 mg <1% 16 $15.84
J1920 Injection, labetalol hydrochloride, 5 mg <1% 47 $8.85
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm <1% 17 $6.43
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries <1% 12 $1.63
J7999 Compounded drug, not otherwise classified 0% 27 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 648 $0.00
Q0245 Injection, bamlanivimab and etesevimab, 2100 mg 0% 20 $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 officialVISCONTI, DEBORAH (DIRECTOR OF PATIENT ACCOUNTS)
Same official

Other billing entities under VISCONTI, DEBORAH

Full network →
ProviderLocationPaid
Capital Health System, INC.Pennington, NJ$132.16M
Capital Health System INCTrenton, NJ$6.14M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.