Clinic
Capital Health System INC
Capital Health System INC was paid $6.14M by Medicaid between Jan 2018 and Oct 2024, across 43 billing codes. Its largest line is 90999, dialysis (unlisted procedure) — 41% of everything it billed.
33Billing provider infoCAPITAL HEALTH SYSTEM INC
TRENTON, NJ 08638
TRENTON, NJ 08638
33aNPI1568411940assigned 05/10/2006
33bProvider typeEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
28Total paid$6.14M
24GClaims161,005
24DCodes billed43
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in New Jersey
Rank by total paid#16 of 192
Median peer was paid$1.42M
This provider vs. median4.3×
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 | 18,911 | $1.74M | |
| 2019 | 21,974 | $1.98M | |
| 2020 | 17,903 | $894K | |
| 2021 | 15,763 | $180K | |
| 2022 | 37,949 | $429K | |
| 2023 | 30,171 | $443K | |
| 2024incomplete | 18,334 | $483K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90999 | Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient | 41% | 32,472 | 2,475 | $2.51M |
| Q4081 | Injection, epoetin alfa, 100 units (for esrd on dialysis) | 10% | 9,847 | 1,073 | $620K |
| J1270 | Injection, doxercalciferol, 1 mcg | 9.8% | 7,443 | 819 | $600K |
| Q5105 | Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units | 5.9% | 17,694 | 1,372 | $364K |
| A4657 | Syringe, with or without needle, each | 2.4% | 12,483 | 2,617 | $148K |
| J1756 | Injection, iron sucrose, 1 mg | 2.4% | 6,509 | 1,232 | $148K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 2.3% | 1,009 | 64 | $144K |
| 84520 | 2.3% | 4,529 | 2,497 | $141K | |
| 84132 | 1.6% | 3,251 | 2,394 | $99K | |
| 84100 | 1.6% | 3,325 | 2,456 | $96K | |
| 82310 | 1.5% | 3,368 | 2,392 | $95K | |
| 82040 | 1.5% | 3,136 | 2,387 | $95K |
31 more codes
| 83970 | 1.5% | 3,172 | $95K | |
| 84295 | 1.5% | 2,964 | $94K | |
| 82728 | 1.5% | 3,109 | $94K | |
| 82374 | 1.5% | 2,966 | $94K | |
| 84075 | 1.5% | 2,214 | $94K | |
| 84466 | 1.5% | 2,169 | $94K | |
| 82565 | 1.5% | 2,973 | $94K | |
| 83540 | 1.5% | 3,122 | $94K | |
| 82435 | 1.5% | 2,965 | $94K | |
| 84155 | 1.5% | 2,213 | $94K | |
| 82108 | <1% | 1,055 | $34K | |
| 87340 | <1% | 2,344 | $32K | |
| 86706 | <1% | 1,821 | $21K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,647 | $20K |
| J2501 | Injection, paricalcitol, 1 mcg | <1% | 10,832 | $9K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 121 | $9K |
| J1644 | Injection, heparin sodium, per 1000 units | <1% | 534 | $4K |
| G0008 | Administration of influenza virus vaccine | <1% | 47 | $3K |
| J0604 | Cinacalcet, oral, 1 mg, (for esrd on dialysis) | <1% | 44 | $2K |
| 90686 | <1% | 12 | $2K | |
| 85014 | <1% | 1,499 | $939.61 | |
| 85018 | <1% | 1,498 | $939.01 | |
| 85027 | <1% | 14 | $517.56 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 846 | $178.23 |
| 86803 | <1% | 926 | $151.07 | |
| 80053 | Comprehensive metabolic panel | <1% | 79 | $48.20 |
| 83550 | <1% | 944 | $30.14 | |
| J2916 | Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg | <1% | 221 | $29.57 |
| 82947 | <1% | 637 | $24.22 | |
| 84460 | <1% | 810 | $12.91 | |
| 86317 | <1% | 141 | $5.60 |
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 officialVISCONTI, DEBORAH (DIRECTOR OF PATIENT ACCOUNTS)
| Provider | Location | Paid |
|---|---|---|
| Capital Health System, INC. | Pennington, NJ | $132.16M |
| Capital Health System INC | Trenton, NJ | $114.53M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.