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

Capstone Orthopedic, INC.

Capstone Orthopedic, INC. was paid $67K by Medicaid between Jan 2018 and Sep 2024, across 6 billing codes. Its largest line is L2280, Addition to lower extremity, molded inner boot — 29% of everything it billed.

33Billing provider infoCAPSTONE ORTHOPEDIC, INC.
ANTIOCH, CA 94509
33aNPI1386930873assigned 06/22/2011
28Total paid$67K
24GClaims761
24DCodes billed6
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in California

Rank by total paid#380 of 946
Median peer was paid$15K
This provider vs. median4.4×

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 SIMMONS, JENNIFER controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
2018114$7K
201988$10K
202022$1K
202154$3K
202293$6K
202372$5K
2024incomplete318$34K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
L2280 Addition to lower extremity, molded inner boot 29% 78 40 $19K
L2275 Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined 29% 281 148 $19K
L2820 Addition to lower extremity orthosis, soft interface for molded plastic, below knee section 26% 273 147 $18K
L3000 Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each 8.8% 26 13 $6K
A5513 For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each 3.9% 49 26 $3K
A5500 For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe 3.8% 54 27 $3K

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 officialSIMMONS, JENNIFER (REGULATORY COMPLIANCE ANALYST III)
Parent organizationHANGER INC
Same official

Other billing entities under SIMMONS, JENNIFER

Full network →

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