Capital Regional Healthcare LLC
Capital Regional Healthcare LLC was paid $1.73M by Medicaid between Jan 2018 and Dec 2024, across 87 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
TALLAHASSEE, FL 32308
Next to other Internal Medicine Physician providers in Florida
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,687 | $4K | |
| 2019 | 11,137 | $95K | |
| 2020 | 13,006 | $286K | |
| 2021 | 17,386 | $325K | |
| 2022 | 25,764 | $404K | |
| 2023 | 34,422 | $451K | |
| 2024incomplete | 41,864 | $167K |
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 | 31% | 17,896 | 14,311 | $529K |
| H1000 | Prenatal care, at-risk assessment | 28% | 13,949 | 9,950 | $478K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.2% | 7,057 | 5,877 | $141K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 5.2% | 1,120 | 950 | $90K |
| 76830 | Ultrasound, transvaginal | 4.7% | 1,316 | 1,115 | $82K |
| 76801 | 3.5% | 1,239 | 892 | $60K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 2.8% | 831 | 630 | $48K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.5% | 684 | 570 | $43K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.8% | 771 | 610 | $31K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.8% | 7,473 | 3,007 | $30K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 2,070 | 1,737 | $29K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 1.3% | 513 | 447 | $23K |
75 more codes
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 1.1% | 532 | $19K |
| 59410 | 1.0% | 28 | $18K | |
| 3008F | <1% | 11,382 | $16K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 195 | $12K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 331 | $9K |
| 11721 | <1% | 2,213 | $8K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 1,488 | $8K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 127 | $7K |
| 99223 | Prolong inpt eval add15 m | <1% | 102 | $7K |
| 81025 | <1% | 1,901 | $6K | |
| 93976 | <1% | 39 | $4K | |
| 76376 | <1% | 171 | $4K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 170 | $3K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 87 | $3K |
| 81002 | <1% | 1,400 | $2K | |
| 1159F | <1% | 10,522 | $2K | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 459 | $2K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 29 | $2K |
| 99334 | <1% | 461 | $2K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 37 | $2K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 854 | $1K |
| 99318 | <1% | 373 | $1K | |
| 3725F | <1% | 15,418 | $1K | |
| 99336 | <1% | 138 | $1K | |
| 17110 | <1% | 105 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 159 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 12 | $877.78 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 120 | $806.74 |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 45 | $699.80 |
| 90686 | <1% | 96 | $636.87 | |
| 59430 | <1% | 12 | $419.83 | |
| 94060 | <1% | 33 | $295.58 | |
| 76857 | <1% | 12 | $274.72 | |
| 3074F | <1% | 5,339 | $273.32 | |
| 94726 | <1% | 32 | $164.08 | |
| G9920 | Screening performed and negative | <1% | 2,539 | $145.79 |
| 94729 | <1% | 30 | $112.92 | |
| 1123F | <1% | 2,515 | $82.52 | |
| 1160F | <1% | 8,034 | $51.00 | |
| 1220F | <1% | 4,093 | $46.36 | |
| 1125F | <1% | 1,221 | $20.18 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 42 | $10.00 |
| 1170F | 0% | 6,545 | $0.00 | |
| 3079F | 0% | 744 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,473 | $0.00 |
| 1126F | 0% | 1,619 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 165 | $0.00 |
| 2000F | 0% | 450 | $0.00 | |
| 3080F | 0% | 82 | $0.00 | |
| 3017F | 0% | 31 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 130 | $0.00 |
| 3075F | 0% | 103 | $0.00 | |
| 99024 | 0% | 40 | $0.00 | |
| 3014F | 0% | 13 | $0.00 | |
| M1294 | Normal blood pressure reading documented, follow-up not required | 0% | 24 | $0.00 |
| 4010F | 0% | 36 | $0.00 | |
| 77001 | 0% | 18 | $0.00 | |
| 99324 | 0% | 33 | $0.00 | |
| 3078F | 0% | 4,771 | $0.00 | |
| 99307 | 0% | 243 | $0.00 | |
| 3077F | 0% | 152 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 216 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 931 | $0.00 |
| 1175F | 0% | 249 | $0.00 | |
| 3288F | 0% | 963 | $0.00 | |
| 1100F | 0% | 63 | $0.00 | |
| 0518F | 0% | 62 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 92 | $0.00 |
| 99238 | Hospital discharge day management, 30 minutes or less | 0% | 28 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 23 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 23 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 27 | $0.00 |
| 4040F | 0% | 62 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 22 | $0.00 |
| 76937 | 0% | 18 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.