Capital Internal Medicine Associates P.C.

Capital Internal Medicine Associates P.C. was paid $7.88M by Medicaid between Jan 2018 and Dec 2024, across 93 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 22% of everything it billed.

33Billing provider infoCAPITAL INTERNAL MEDICINE ASSOCIATES P.C.
LANSING, MI 48911

33aNPI1780629832assigned 06/20/2006

33bProvider typeCardiovascular Disease Physician

28Total paid$7.88M

24GClaims195,996

24DCodes billed93

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Cardiovascular Disease Physician providers in Michigan

Rank by total paid#4 of 134

Median peer was paid$91K

This provider vs. median86×

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	27,782	$1.01M
2019	29,821	$1.09M
2020	29,699	$1.15M
2021	31,872	$1.34M
2022	29,248	$1.28M
2023	26,236	$1.13M
2024incomplete	21,338	$885K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	22%	46,346	11,130	$1.73M
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	18%	21,379	19,761	$1.39M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	13%	22,721	20,750	$1.02M
99223	Prolong inpt eval add15 m	10%	8,331	7,591	$825K
99239	Hospital discharge day management, more than 30 minutes	4.8%	6,817	6,499	$379K
99222	Initial hospital care, per day, moderate complexity	3.5%	3,905	3,766	$275K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	3.0%	4,543	2,147	$237K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	3.0%	2,973	2,941	$236K
59426		3.0%	251	251	$234K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	2.6%	2,339	2,309	$206K
99238	Hospital discharge day management, 30 minutes or less	1.9%	3,855	3,728	$149K
99220		1.3%	1,117	1,089	$104K

81 more codes

76830	Ultrasound, transvaginal	1.0%	1,266	$82K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	<1%	1,298	$78K
99204	Doctor's office visit, new patient (more involved)	<1%	763	$71K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	3,349	$71K
59409	Vaginal delivery only (with or without episiotomy and/or forceps)	<1%	97	$71K
99217		<1%	1,559	$55K
99219		<1%	711	$49K
76811	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed	<1%	484	$48K
99203	Doctor's office visit, new patient (routine)	<1%	768	$45K
59430		<1%	188	$44K
77067	Screening mammography, bilateral, including computer-aided detection	<1%	549	$42K
76801		<1%	575	$38K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	1,371	$37K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	<1%	609	$32K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	3,544	$24K
90682		<1%	458	$22K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	2,388	$22K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	310	$20K
99215	Doctor's office visit, returning patient (complex)	<1%	273	$20K
99308	Subsequent nursing facility care, per day, straightforward	<1%	649	$19K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	<1%	235	$19K
90715		<1%	566	$18K
77063	Screening digital breast tomosynthesis, bilateral	<1%	549	$17K
99495		<1%	204	$16K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	157	$15K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	171	$14K
83036	Hemoglobin; glycosylated (A1C)	<1%	2,808	$14K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	119	$11K
90686		<1%	531	$8K
81002		<1%	2,963	$7K
99459		<1%	540	$7K
99221		<1%	152	$7K
99385		<1%	57	$5K
99496		<1%	43	$5K
81025		<1%	485	$3K
99305		<1%	39	$3K
99310	Prolong nursin fac eval 15m	<1%	68	$3K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	228	$2K
96160		<1%	50	$2K
99307		<1%	141	$2K
98966		<1%	393	$2K
93000		<1%	279	$2K
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	40	$2K
98926		<1%	80	$2K
99406		<1%	228	$2K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	33	$1K
58300		<1%	26	$1K
90673		<1%	20	$1K
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	1,048	$864.41
J1040	Injection, methylprednisolone acetate, 80 mg	<1%	116	$851.84
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	<1%	68	$819.28
90688		<1%	61	$817.90
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	70	$797.36
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	<1%	12	$582.36
98925		<1%	45	$544.40
90472	Immunization administration, each additional vaccine (list separately)	<1%	59	$537.23
98928		<1%	14	$533.95
96127		<1%	173	$419.82
98927		<1%	13	$348.86
90662		<1%	42	$200.46
99224		<1%	15	$121.87
82962		<1%	128	$118.11
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	12	$92.93
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	49	$61.75
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	18	$54.84
87210		<1%	14	$53.29
G0008	Administration of influenza virus vaccine	<1%	156	$42.79
G0444	Annual depression screening, 5 to 15 minutes	<1%	6,911	$35.02
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	13	$9.98
G8420	Bmi is documented within normal parameters and no follow-up plan is required	<1%	4,664	$0.41
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	<1%	18,107	$0.19
J1050	Injection, medroxyprogesterone acetate, 1 mg	<1%	56	$0.18
3044F		0%	1,005	$0.00
G8418	Bmi is documented below normal parameters and a follow-up plan is documented	0%	134	$0.00
1111F		0%	439	$0.00
0500F		0%	54	$0.00
2028F		0%	151	$0.00
0502F		0%	4,964	$0.00
3288F		0%	339	$0.00
G9357	Post-partum screenings, evaluations and education performed	0%	40	$0.00
3045F		0%	15	$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 officialKOWALCZYK, MICHAEL (PRESIDENT)