Agency
Capitol Care, INC.
Capitol Care, INC. was paid $50.31M by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is H2016, community support for mental illness or disability, billed per day — 88% of everything it billed.
33Billing provider infoCAPITOL CARE, INC.
STANHOPE, NJ 07874
STANHOPE, NJ 07874
33aNPI1609117522assigned 03/04/2013
33bProvider typeDevelopmentally Disabled Services Day Training Agency
28Total paid$50.31M
24GClaims187,174
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Developmentally Disabled Services Day Training Agency providers in New Jersey
Rank by total paid#23 of 154
Median peer was paid$4.61M
This provider vs. median11×
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 | 21,285 | $3.51M | |
| 2019 | 34,681 | $7.14M | |
| 2020 | 25,882 | $7.11M | |
| 2021 | 22,014 | $7.21M | |
| 2022 | 28,735 | $8.20M | |
| 2023 | 28,547 | $8.87M | |
| 2024incomplete | 26,030 | $8.27M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 88% | 129,586 | 4,610 | $44.07M |
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | 12% | 50,651 | 3,541 | $5.87M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 4,590 | 755 | $191K |
| H2021 | Community-based wrap-around services, per 15 minutes | <1% | 958 | 236 | $144K |
| T2015 | Habilitation, prevocational, waiver; per hour | <1% | 1,173 | 161 | $31K |
| A0090 | Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest | <1% | 145 | 40 | $4K |
| T2019 | Habilitation, supported employment, waiver; per 15 minutes | <1% | 71 | 12 | $3K |
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 officialLUTZ, ANDREW (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Capitol Care INC. | Stanhope, NJ | $427K |
| Capitol Care, INC. | Somerset, NJ | $364K |
| Capitol Care INC. | Bound Brook, NJ | $160.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.