Capital Endocrine Consultants, PA
Capital Endocrine Consultants, PA was paid $187K by Medicaid between Jan 2018 and Oct 2024, across 4 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 64% of everything it billed.
33Billing provider infoCAPITAL ENDOCRINE CONSULTANTS, PA
RALEIGH, NC 27612
RALEIGH, NC 27612
33aNPI1346456209assigned 05/15/2007
33bProvider typeSpecialist
28Total paid$187K
24GClaims4,429
24DCodes billed4
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Specialist providers in North Carolina
Rank by total paid#71 of 172
Median peer was paid$83K
This provider vs. median2.3×
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 | 556 | $28K | |
| 2019 | 253 | $14K | |
| 2020 | 231 | $10K | |
| 2021 | 660 | $25K | |
| 2022 | 840 | $33K | |
| 2023 | 916 | $30K | |
| 2024incomplete | 973 | $48K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 64% | 2,481 | 1,135 | $120K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 25% | 1,579 | 639 | $47K |
| 99223 | Prolong inpt eval add15 m | 10% | 298 | 214 | $20K |
| 99449 | <1% | 71 | 25 | $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.
From NPPES
Who's on the registration
Authorized officialCOX, JULIE (PRACTICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| North Idaho Lung, Asthma and Critical Care, LLC. | Coeur D Alene, ID | $117K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.