Clinic
Capstone Health Services Foundation PC
Capstone Health Services Foundation PC was paid $77K by Medicaid between Aug 2021 and Nov 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoCAPSTONE HEALTH SERVICES FOUNDATION PC
CARROLLTON, AL 35447
CARROLLTON, AL 35447
33aNPI1588231542assigned 06/08/2021
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$77K
24GClaims1,822
24DCodes billed5
24AFirst – last monthAug 2021 – Nov 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Alabama
Rank by total paid#21 of 35
Median peer was paid$110K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2021 | 208 | $3K | |
| 2022 | 440 | $13K | |
| 2023 | 737 | $41K | |
| 2024incomplete | 437 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 56% | 587 | 551 | $43K |
| 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 | 26% | 203 | 182 | $20K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 13% | 482 | 382 | $10K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.1% | 316 | 143 | $3K |
| 87400 | 1.4% | 234 | 113 | $1K |
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 officialLUMPKIN, JANNA (CREDENTIALING SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| Capstone Health Services Foundation PC | Demopolis, AL | $780K |
| Capstone Health Services Foundation PC | Livingston, AL | $136K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.