Capital Orthopaedic Specialists, P.A.
Capital Orthopaedic Specialists, P.A. was paid $51K by Medicaid between Jan 2018 and Mar 2020, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.
33Billing provider infoCAPITAL ORTHOPAEDIC SPECIALISTS, P.A.
DOVER, DE 19904
DOVER, DE 19904
33aNPI1316963747assigned 07/15/2006
33bProvider typeSpecialist
28Total paid$51K
24GClaims3,656
24DCodes billed5
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Specialist providers in Delaware
Rank by total paid#18 of 27
Median peer was paid$103K
This provider vs. median0.5×
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 | 1,560 | $7K | |
| 2019 | 1,813 | $24K | |
| 2020 | 283 | $20K |
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 | 51% | 1,748 | 1,543 | $26K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 1,228 | 1,074 | $16K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 13% | 334 | 311 | $7K |
| 20610 | 2.7% | 274 | 104 | $1K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 72 | 51 | $70.41 |
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 officialDUSHUTTLE, RICHARD (DOCTOR)