Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › WA › Lakewood › NPI 1346711884
Supplier

Capstone Medical LLC

Capstone Medical LLC was paid $20.70M by Medicaid between Aug 2019 and Nov 2024, across 53 billing codes. Its largest line is E1161, Manual adult size wheelchair, includes tilt in space — 26% of everything it billed.

33Billing provider infoCAPSTONE MEDICAL LLC
LAKEWOOD, WA 98499
33aNPI1346711884assigned 12/10/2018
28Total paid$20.70M
24GClaims86,984
24DCodes billed53
24AFirst – last monthAug 2019 – Nov 2024
Compared with peers

Next to other Customized Equipment (DME) providers in Washington

Rank by total paid#2 of 43
Median peer was paid$2.19M
This provider vs. median9.4×

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.

Entity ProliferationAuthorized official RUSSELL, KILEY controls 16+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$250K$500K$750K2018201920202021202220232024
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
2019626$160K
202016,375$1.63M
202120,082$3.28M
202222,220$5.58M
202318,276$6.02M
2024incomplete9,405$4.04M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
E1161 Manual adult size wheelchair, includes tilt in space 26% 1,763 1,740 $5.41M
K0005 Ultralightweight wheelchair 23% 2,021 2,001 $4.83M
E2203 Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches 4.1% 1,590 1,574 $849K
E1028 Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other 3.7% 2,739 2,498 $760K
E0973 Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each 3.6% 3,957 3,911 $738K
E2613 Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware 2.9% 1,601 1,596 $608K
T4527 Adult sized disposable incontinence product, protective underwear/pull-on, large size, each 2.9% 5,916 5,837 $598K
E2607 Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth 2.6% 1,958 1,937 $542K
T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each 2.4% 5,391 5,288 $490K
E2201 Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches 2.2% 1,103 1,091 $458K
A4927 Gloves, non-sterile, per 100 2.2% 17,406 16,622 $457K
E2231 Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware 2.0% 2,475 2,452 $424K
41 more codes
E0955 Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each 2.0% 2,118 $410K
E0971 Manual wheelchair accessory, anti-tipping device, each 1.8% 3,912 $376K
K0108 Wheelchair component or accessory, not otherwise specified 1.8% 1,505 $367K
T4528 Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each 1.7% 3,412 $351K
E1007 Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction 1.7% 40 $346K
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each 1.5% 5,822 $317K
K0040 Adjustable angle footplate, each 1.2% 1,776 $251K
E2620 Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware 1.2% 473 $247K
E2311 Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware <1% 86 $202K
T4537 Incontinence product, protective underpad, reusable, bed size, each <1% 5,209 $192K
E2611 General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware <1% 621 $185K
E2603 Skin protection wheelchair seat cushion, width less than 22 inches, any depth <1% 993 $144K
E2608 Skin protection and positioning wheelchair seat cushion, width 22 inches or greater, any depth <1% 409 $138K
E0990 Wheelchair accessory, elevating leg rest, complete assembly, each <1% 668 $127K
E0951 Heel loop/holder, any type, with or without ankle strap, each <1% 2,793 $102K
E2614 Positioning wheelchair back cushion, posterior, width 22 inches or greater, any height, including any type mounting hardware <1% 175 $91K
T4541 Incontinence product, disposable underpad, large, each <1% 3,194 $85K
T4523 Adult sized disposable incontinence product, brief/diaper, large, each <1% 833 $77K
E2377 Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue <1% 149 $71K
E2615 Positioning wheelchair back cushion, posterior-lateral, width less than 22 inches, any height, including any type mounting hardware <1% 127 $55K
E2313 Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each <1% 150 $55K
K0739 Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes <1% 641 $45K
E0956 Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each <1% 268 $43K
E1012 Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each <1% 41 $41K
T4524 Adult sized disposable incontinence product, brief/diaper, extra large, each <1% 317 $39K
E0961 Manual wheelchair accessory, wheel lock brake extension (handle), each <1% 630 $36K
T4544 Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each <1% 167 $30K
A4335 Incontinence supply; miscellaneous <1% 855 $23K
E2624 Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth <1% 69 $22K
S9999 Sales tax <1% 63 $20K
E0953 Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each <1% 113 $17K
T4525 Adult sized disposable incontinence product, protective underwear/pull-on, small size, each <1% 116 $9K
E2209 Accessory, arm trough, with or without hand support, each <1% 70 $8K
E2359 Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) <1% 14 $6K
E2601 General use wheelchair seat cushion, width less than 22 inches, any depth <1% 85 $5K
K0038 Leg strap, each <1% 199 $5K
T4522 Adult sized disposable incontinence product, brief/diaper, medium, each <1% 39 $3K
E0954 Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot <1% 15 $2K
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips <1% 146 $1K
A4256 Normal, low and high calibrator solution / chips <1% 119 $102.38
A4520 Incontinence garment, any type, (e.g., brief, diaper), each 0% 632 $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 officialRUSSELL, KILEY (SENIOR DIRECTOR OF PAYOR RELATIONS)
Same official

Other billing entities under RUSSELL, KILEY

Full network →
ProviderLocationPaid
A & a Medical Supply LLCSolon, OH$35.16M
Reliable Medical Supply LLCBrooklyn Park, MN$22.34M
Orbit Medical of Chicago LLCChicago, IL$10.75M
Reliable Medical Supply LLCWaite Park, MN$2.78M
Hometown Medical Supplies LLCSan Jose, CA$2.68M
Orbit Medical of Naperville LLCAurora, IL$2.03M
Orbit Medical Products of Madison Heights LLCMadison Heights, MI$1.61M
Reliable Medical Supply LLCFaribault, MN$1.10M
Reliable Medical Supply LLCRochester, MN$922K
Reliable Medical Supply LLCBuffalo, MN$570K
Complex Rehab Technologies LLCHouston, TX$458K
T.D. Medical LLCCooper City, FL$191K
Orbit Medical of Milwaukee LLCWaukesha, WI$172K
Reliable Medical Supply LLCIndianapolis, IN$98K
Reliable Medical Supply LLCRochester, MN$7K
Reliable Medical Supply LLCEau Claire, WI$6K

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