Capshaw, Karen

Capshaw, Karen was paid $18K by Medicaid between Jan 2018 and Jun 2018, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.

33Billing provider infoCAPSHAW, KAREN
CHESTER, VA 23831

33aNPI1275795676assigned 06/26/2008

33bProvider typeFamily Nurse Practitioner

28Total paid$18K

24GClaims373

24DCodes billed8

24AFirst – last monthJan 2018 – Jun 2018

Compared with peers

Next to other Family Nurse Practitioner providers in Virginia

Rank by total paid#70 of 235

Median peer was paid$5K

This provider vs. median3.5×

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	373	$18K

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	51%	157	154	$9K
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	33%	70	70	$6K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	12%	27	27	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.4%	12	12	$418.24
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	48	48	$125.05
99173		<1%	29	29	$56.98
85014		<1%	13	13	$37.44
36416		<1%	17	17	$8.80

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.