Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Supplier

Capstone Orthopedic, INC

Capstone Orthopedic, INC was paid $410K by Medicaid between Nov 2022 and Nov 2024, across 5 billing codes. Its largest line is L3000, Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each — 66% of everything it billed.

33Billing provider infoCAPSTONE ORTHOPEDIC, INC
MERCED, CA 95348
33aNPI1679140677assigned 06/08/2021
28Total paid$410K
24GClaims4,057
24DCodes billed5
24AFirst – last monthNov 2022 – Nov 2024
Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in California

Rank by total paid#259 of 946
Median peer was paid$15K
This provider vs. median27×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official SIMMONS, JENNIFER controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
202254$8K
20232,041$164K
2024incomplete1,962$238K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
L3000 Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each 66% 1,181 599 $270K
A5500 For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe 16% 1,518 768 $66K
A5513 For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each 15% 1,206 642 $61K
L2840 Addition to lower extremity orthosis, tibial length sock, fracture or equal, each 2.2% 84 47 $9K
L2275 Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined 1.1% 68 38 $5K

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 officialSIMMONS, JENNIFER (REGULATORY COMPLIANCE ANALYST III)
Parent organizationHANGER INC
Same official

Other billing entities under SIMMONS, JENNIFER

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.