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

Capital Children's Healthcare

Capital Children's Healthcare was paid $11.23M by Medicaid between Mar 2018 and Nov 2024, across 2 billing codes. Its largest line is 41899, Unlisted procedure, dentoalveolar structures — 100% of everything it billed.

33Billing provider infoCAPITAL CHILDREN'S HEALTHCARE
UPPER MARLBORO, MD 20774
33aNPI1316484447assigned 01/26/2017
28Total paid$11.23M
24GClaims8,462
24DCodes billed2
24AFirst – last monthMar 2018 – Nov 2024
Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in Maryland

Rank by total paid#1 of 114
Median peer was paid$25K
This provider vs. median440×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code 41899 with only 2 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$200K$400K2018201920202021202220232024
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
2018493$534K
2019878$952K
20201,286$1.17M
20211,616$1.78M
20221,464$1.90M
20231,644$2.81M
2024incomplete1,081$2.07M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
41899 Unlisted procedure, dentoalveolar structures 100% 8,447 7,659 $11.21M
G0330 Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room <1% 15 12 $20K

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 officialWHEELER, JEFFREY (CEO)
Parent organizationNEW CORE HEALTHCARE
Same official

Other billing entities under WHEELER, JEFFREY

Full network →
ProviderLocationPaid
Baltimore Surgery Center, LLCBaltimore, MD$3.71M
Sandman, LLCUpper Marlboro, MD$751K
Sandman, LLCBaltimore, MD$426K
CCDC Professionals, LLCBaltimore, MD$301K
Advanced Foot & Ankle Care, PLLCHurricane, WV$111K

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