Capelle, Susan
Capelle, Susan was paid $27K by Medicaid between Apr 2018 and Jul 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.
33Billing provider infoCAPELLE, SUSAN
MORGANTOWN, WV 26505
MORGANTOWN, WV 26505
33aNPI1275584872assigned 05/16/2006
33bProvider typeSpecialist
28Total paid$27K
24GClaims543
24DCodes billed4
24AFirst – last monthApr 2018 – Jul 2024
Compared with peers
Next to other Specialist providers in West Virginia
Rank by total paid#56 of 71
Median peer was paid$232K
This provider vs. median0.1×
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 | 29 | $2K | |
| 2019 | 28 | $898.27 | |
| 2020 | 168 | $11K | |
| 2021 | 107 | $4K | |
| 2022 | 83 | $3K | |
| 2023 | 86 | $4K | |
| 2024incomplete | 42 | $2K |
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 | 63% | 374 | 331 | $17K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 19% | 51 | 48 | $5K |
| 81003 | 8.9% | 106 | 99 | $2K | |
| 76830 | Ultrasound, transvaginal | 8.6% | 12 | 12 | $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.