Capital Primary Care INC

Capital Primary Care INC was paid $1.16M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.

33Billing provider infoCAPITAL PRIMARY CARE INC
GAITHERSBURG, MD 20878

33aNPI1447429634assigned 02/21/2008

33bProvider typeFamily Medicine Physician

28Total paid$1.16M

24GClaims34,066

24DCodes billed31

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in Maryland

Rank by total paid#32 of 287

Median peer was paid$78K

This provider vs. median15×

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	613	$49K
2019	405	$23K
2020	3,475	$176K
2021	4,985	$165K
2022	7,198	$251K
2023	10,125	$289K
2024incomplete	7,265	$203K

Box 24 · Service lines

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	45%	5,643	4,644	$525K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	33%	5,743	4,488	$377K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	9.3%	970	864	$108K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	7.1%	796	710	$82K
93000		2.5%	2,138	1,945	$29K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	1.3%	121	92	$15K
96127		<1%	882	739	$3K
3008F		<1%	5,826	4,636	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	84	71	$3K
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	<1%	741	654	$2K
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	<1%	22	13	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	14	14	$1K

19 more codes

3074F		<1%	2,069	$1K
99454		<1%	75	$1K
99385		<1%	13	$711.15
99442		<1%	219	$634.60
99402		<1%	282	$403.37
3077F		<1%	767	$380.00
3011F		<1%	290	$160.00
3075F		<1%	298	$115.00
3044F		<1%	239	$70.00
99401		<1%	135	$54.34
99457		<1%	27	$47.32
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	327	$45.00
1026F		<1%	1,489	$43.50
1159F		<1%	1,537	$28.50
3078F		<1%	2,370	$22.50
3079F		0%	650	$0.00
3080F		0%	251	$0.00
4010F		0%	17	$0.00
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	0%	31	$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 officialNWANKWO, CHRISTIAN (MEDICAL DIRECTOR)