NP / PA
Cape Family Medical Clinic, LLC
Cape Family Medical Clinic, LLC was paid $1.24M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 78% of everything it billed.
33Billing provider infoCAPE FAMILY MEDICAL CLINIC, LLC
CAPE GIRARDEAU, MO 63701
CAPE GIRARDEAU, MO 63701
33aNPI1720359243assigned 01/13/2012
33bProvider typeFamily Health Clinical Nurse Specialist
28Total paid$1.24M
24GClaims28,861
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
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 | 5,943 | $276K | |
| 2019 | 5,568 | $255K | |
| 2020 | 4,110 | $170K | |
| 2021 | 1,711 | $60K | |
| 2022 | 3,067 | $105K | |
| 2023 | 3,927 | $177K | |
| 2024incomplete | 4,535 | $200K |
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 | 78% | 12,321 | 9,635 | $966K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 8,270 | 6,506 | $153K |
| 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 | 4.6% | 3,609 | 3,125 | $58K |
| 99350 | Prolong home eval add 15m | 1.3% | 330 | 318 | $16K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 368 | 340 | $7K |
| 80305 | <1% | 1,008 | 907 | $7K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 266 | 257 | $7K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 357 | 271 | $6K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,291 | 1,193 | $6K |
| 99347 | <1% | 306 | 253 | $5K | |
| 99337 | <1% | 32 | 27 | $3K | |
| 99348 | <1% | 42 | 40 | $3K |
9 more codes
| 99336 | <1% | 36 | $1K | |
| 99349 | <1% | 15 | $1K | |
| 99310 | Prolong nursin fac eval 15m | <1% | 15 | $916.92 |
| 99326 | <1% | 16 | $402.76 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 15 | $189.68 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 494 | $154.36 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 33 | $1.68 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 14 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 23 | $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.
From NPPES
Who's on the registration
Authorized officialGOINES, ERIC (OWNER)