Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › WA › Olympia › NPI 1760785281
Physician

Capital Medical Center Specialty Physicians, LLC

Capital Medical Center Specialty Physicians, LLC was paid $987K by Medicaid between Jan 2018 and Nov 2024, across 42 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 27% of everything it billed.

33Billing provider infoCAPITAL MEDICAL CENTER SPECIALTY PHYSICIANS, LLC
OLYMPIA, WA 98502
33aNPI1760785281assigned 12/07/2010
33bProvider typeUrology Physician
28Total paid$987K
24GClaims23,398
24DCodes billed42
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Urology Physician providers in Washington

Rank by total paid#2 of 12
Median peer was paid$1K
This provider vs. median663×

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 ROBERTSON, WILLIAM controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
20184,012$169K
20194,092$168K
20202,193$83K
20212,106$83K
20222,898$135K
20233,295$156K
2024incomplete4,802$193K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 27% 4,572 4,508 $266K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14% 3,722 3,525 $138K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 12% 3,680 1,617 $117K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 10% 1,190 1,173 $100K
99223 Prolong inpt eval add15 m 7.9% 859 825 $78K
99239 Hospital discharge day management, more than 30 minutes 7.8% 1,520 1,474 $77K
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 6.7% 1,490 1,367 $66K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 3.4% 732 333 $34K
59025 Fetal non-stress test 2.0% 655 478 $20K
99222 Initial hospital care, per day, moderate complexity 1.8% 289 283 $18K
31575 1.6% 264 260 $15K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 294 283 $9K
30 more codes
99238 Hospital discharge day management, 30 minutes or less <1% 218 $9K
95819 <1% 38 $6K
99460 <1% 73 $5K
99243 <1% 59 $4K
99215 Doctor's office visit, returning patient (complex) <1% 30 $3K
81002 <1% 1,280 $3K
99205 Prolong outpt/office vis <1% 30 $3K
92557 <1% 124 $2K
95251 <1% 216 $2K
31231 <1% 17 $2K
52000 <1% 13 $2K
99244 Office or other outpatient consultation, moderate to high complexity <1% 13 $1K
97803 <1% 17 $1K
92567 <1% 123 $957.80
81003 <1% 624 $926.72
51701 <1% 41 $736.19
83036 Hemoglobin; glycosylated (A1C) <1% 120 $656.24
99221 <1% 12 $548.88
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 32 $436.92
51798 <1% 102 $413.26
94060 <1% 30 $391.13
94729 <1% 13 $285.26
90686 <1% 13 $231.10
99459 <1% 40 $14.13
94760 <1% 15 $4.83
3074F 0% 14 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 573 $0.00
1159F 0% 142 $0.00
1160F 0% 82 $0.00
3078F 0% 27 $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 officialROBERTSON, WILLIAM (CEO)
Same official

Other billing entities under ROBERTSON, WILLIAM

Full network →
ProviderLocationPaid
Multicare Health SystemTacoma, WA$162.25M
Multicare Health SystemTacoma, WA$108.54M
Yakima Valley Memorial Hospital AssociationYakima, WA$103.54M
Multicare Health SystemPuyallup, WA$77.99M
Multicare Health SystemTacoma, WA$75.17M
Greater Lakes Mental Health Foundation INCLakewood, WA$55.95M
Multicare Health SystemSpokane, WA$55.23M
Multicare Health SystemAuburn, WA$31.02M
Multicare Health SystemSpokane Valley, WA$24.75M
Multicare Health SystemCovington, WA$23.19M
Multicare Health SystemOlympia, WA$16.97M
Multicare Health SystemTacoma, WA$11.14M
Multicare Health SystemAuburn, WA$7.42M
Multicare Health SystemTacoma, WA$2.68M
Alliance for South Sound HealthTacoma, WA$2.46M
Capital Medical Center Physicians LLCOlympia, WA$1.75M
Multicare Health SystemTacoma, WA$1.53M
Yakima Valley Memorial Hospital AssociationYakima, WA$1.16M
Yakima Urology at Memorial TRYakima, WA$784K
Multicare Health SystemSpokane, WA$179K

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