Physician
Capp, Kevin
Capp, Kevin was paid $502K by Medicaid between Oct 2020 and Dec 2024, across 8 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoCAPP, KEVIN
MOUNT UNION, PA 17066
MOUNT UNION, PA 17066
33aNPI1588800155assigned 12/31/2008
33bProvider typeFamily Medicine Physician
28Total paid$502K
24GClaims5,962
24DCodes billed8
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#130 of 2,756
Median peer was paid$19K
This provider vs. median26×
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 | |
|---|---|---|---|
| 2020 | 156 | $9K | |
| 2021 | 981 | $70K | |
| 2022 | 1,330 | $106K | |
| 2023 | 1,879 | $170K | |
| 2024incomplete | 1,616 | $148K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 3,273 | 2,974 | $502K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 1,051 | 957 | $225.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 405 | 384 | $0.00 |
| 3078F | 0% | 432 | 404 | $0.00 | |
| 99408 | 0% | 35 | 35 | $0.00 | |
| 3074F | 0% | 674 | 637 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 80 | 80 | $0.00 |
| 3075F | 0% | 12 | 12 | $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.