Capizzi, Stephen

Capizzi, Stephen was paid $158K by Medicaid between Jan 2018 and Nov 2020, across 4 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 53% of everything it billed.

33Billing provider infoCAPIZZI, STEPHEN
NASHVILLE, TN 37203

33aNPI1366446171assigned 06/09/2005

33bProvider typeCritical Care Medicine (Internal Medicine) Physician

28Total paid$158K

24GClaims5,007

24DCodes billed4

24AFirst – last monthJan 2018 – Nov 2020

Compared with peers

Next to other Critical Care Medicine (Internal Medicine) Physician providers in Tennessee

Rank by total paid#4 of 35

Median peer was paid$17K

This provider vs. median9.5×

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	1,504	$49K
2019	1,786	$63K
2020	1,717	$46K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	53%	1,195	480	$84K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	23%	1,704	553	$37K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	20%	1,865	445	$32K
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	3.2%	243	211	$5K

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.