Clinic
Capstone Health Services Foundation PC
Capstone Health Services Foundation PC was paid $1.02M by Medicaid between Jan 2018 and Nov 2024, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.
33Billing provider infoCAPSTONE HEALTH SERVICES FOUNDATION PC
NORTHPORT, AL 35476
NORTHPORT, AL 35476
33aNPI1275926719assigned 03/09/2015
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$1.02M
24GClaims19,049
24DCodes billed28
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Alabama
Rank by total paid#11 of 35
Median peer was paid$110K
This provider vs. median9.3×
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 | 2,735 | $130K | |
| 2019 | 2,910 | $132K | |
| 2020 | 2,744 | $148K | |
| 2021 | 2,913 | $161K | |
| 2022 | 2,719 | $141K | |
| 2023 | 3,239 | $201K | |
| 2024incomplete | 1,789 | $106K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 52% | 6,857 | 6,254 | $535K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 5,220 | 4,793 | $334K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.5% | 561 | 536 | $36K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.8% | 442 | 422 | $29K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.5% | 1,982 | 1,951 | $25K |
| 90686 | 1.6% | 969 | 947 | $16K | |
| 90670 | <1% | 344 | 342 | $6K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 250 | 244 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 85 | 81 | $5K |
| 90698 | <1% | 236 | 236 | $4K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 66 | 53 | $4K |
| 99349 | <1% | 42 | 37 | $3K |
16 more codes
| 99173 | <1% | 560 | $3K | |
| 92551 | <1% | 493 | $2K | |
| 90671 | <1% | 172 | $2K | |
| 90680 | <1% | 102 | $2K | |
| 90697 | <1% | 115 | $1K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 30 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 88 | $814.00 |
| 87400 | <1% | 168 | $800.00 | |
| 90656 | <1% | 44 | $763.59 | |
| 90633 | <1% | 49 | $666.96 | |
| 90744 | <1% | 25 | $494.75 | |
| 90715 | <1% | 13 | $319.67 | |
| 90734 | <1% | 12 | $318.73 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 70 | $258.52 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13 | $55.00 |
| 1159F | 0% | 41 | $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 officialARENDALE, ALLISON (DIRECTOR OF FINANCIAL AFFIARS)
| Provider | Location | Paid |
|---|---|---|
| Capstone Health Services Foundation PC | Tuscaloosa, AL | $12.43M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.