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.
OLYMPIA, WA 98502
Next to other Urology Physician providers in Washington
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,012 | $169K | |
| 2019 | 4,092 | $168K | |
| 2020 | 2,193 | $83K | |
| 2021 | 2,106 | $83K | |
| 2022 | 2,898 | $135K | |
| 2023 | 3,295 | $156K | |
| 2024incomplete | 4,802 | $193K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Multicare Health System | Tacoma, WA | $162.25M |
| Multicare Health System | Tacoma, WA | $108.54M |
| Yakima Valley Memorial Hospital Association | Yakima, WA | $103.54M |
| Multicare Health System | Puyallup, WA | $77.99M |
| Multicare Health System | Tacoma, WA | $75.17M |
| Greater Lakes Mental Health Foundation INC | Lakewood, WA | $55.95M |
| Multicare Health System | Spokane, WA | $55.23M |
| Multicare Health System | Auburn, WA | $31.02M |
| Multicare Health System | Spokane Valley, WA | $24.75M |
| Multicare Health System | Covington, WA | $23.19M |
| Multicare Health System | Olympia, WA | $16.97M |
| Multicare Health System | Tacoma, WA | $11.14M |
| Multicare Health System | Auburn, WA | $7.42M |
| Multicare Health System | Tacoma, WA | $2.68M |
| Alliance for South Sound Health | Tacoma, WA | $2.46M |
| Capital Medical Center Physicians LLC | Olympia, WA | $1.75M |
| Multicare Health System | Tacoma, WA | $1.53M |
| Yakima Valley Memorial Hospital Association | Yakima, WA | $1.16M |
| Yakima Urology at Memorial TR | Yakima, WA | $784K |
| Multicare Health System | Spokane, WA | $179K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.