Clinic
Capitol Urgent Care INC
Capitol Urgent Care INC was paid $788K by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.
33Billing provider infoCAPITOL URGENT CARE INC
SACRAMENTO, CA 95831
SACRAMENTO, CA 95831
33aNPI1508133208assigned 11/23/2011
33bProvider typeUrgent Care Clinic/Center
28Total paid$788K
24GClaims108,607
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in California
Rank by total paid#87 of 284
Median peer was paid$147K
This provider vs. median5.3×
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 | 10,610 | $271K | |
| 2019 | 21,394 | $78K | |
| 2020 | 11,331 | $48K | |
| 2021 | 11,599 | $81K | |
| 2022 | 13,632 | $81K | |
| 2023 | 20,671 | $130K | |
| 2024incomplete | 19,370 | $98K |
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 | 52% | 35,633 | 33,278 | $408K |
| 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 | 34% | 14,964 | 14,599 | $270K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.9% | 2,252 | 2,242 | $30K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.6% | 4,724 | 4,590 | $28K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.6% | 3,452 | 3,425 | $21K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.8% | 1,331 | 1,311 | $14K |
| 99051 | <1% | 11,627 | 11,263 | $4K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 597 | 586 | $4K |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | <1% | 17,576 | 16,945 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 209 | 207 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 4,176 | 2,200 | $1K |
| 81003 | <1% | 3,803 | 3,656 | $1K |
27 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,031 | $680.81 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 127 | $421.00 |
| 99000 | <1% | 955 | $300.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 95 | $297.09 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,972 | $101.84 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 206 | $92.63 |
| 99441 | <1% | 66 | $75.00 | |
| 99201 | <1% | 17 | $74.94 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 69 | $31.64 |
| 69210 | <1% | 29 | $21.56 | |
| 81025 | <1% | 526 | $12.50 | |
| 81002 | <1% | 12 | $2.15 | |
| 82962 | <1% | 54 | $1.98 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 726 | $0.12 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 329 | $0.02 |
| 36415 | Collection of venous blood by venipuncture | 0% | 238 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 302 | $0.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 40 | $0.00 |
| 80053 | Comprehensive metabolic panel | 0% | 21 | $0.00 |
| J7644 | Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram | 0% | 110 | $0.00 |
| A6449 | Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard | 0% | 52 | $0.00 |
| 93000 | 0% | 150 | $0.00 | |
| 94760 | 0% | 57 | $0.00 | |
| 73610 | 0% | 12 | $0.00 | |
| 73130 | 0% | 12 | $0.00 | |
| 69209 | 0% | 14 | $0.00 | |
| 73630 | 0% | 41 | $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 officialCAPEL, BEVERLY (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Folsom Urgent Care INC | Folsom, CA | $297K |
| Natomas Urgent Care INC. | Sacramento, CA | $232K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.