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

Capacity Care,inc

Capacity Care,inc was paid $3.59M by Medicaid between Jan 2018 and Dec 2024, across 4 billing codes. Its largest line is 92507, Treatment of speech, language, voice, communication, and/or auditory processing disorder — 40% of everything it billed.

33Billing provider infoCAPACITY CARE,INC
LOUISVILLE, KY 40220
33aNPI1790972768assigned 10/03/2007
33bProvider typeProfessional Counselor
28Total paid$3.59M
24GClaims16,203
24DCodes billed4
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Professional Counselor providers in Kentucky

Rank by total paid#25 of 255
Median peer was paid$129K
This provider vs. median28×

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

$0$50K$100K2018201920202021202220232024
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
20183,069$549K
20192,897$593K
2020540$118K
20212,590$478K
20222,795$688K
20232,226$586K
2024incomplete2,086$580K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 40% 5,629 1,183 $1.42M
97530 Therapeutic activities, direct patient contact, each 15 minutes 33% 4,971 1,178 $1.18M
97535 Self-care/home management training, each 15 minutes 25% 5,004 372 $911K
S5135 Companion care, adult (e.g., iadl/adl); per 15 minutes 2.1% 599 64 $76K

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 officialHINTON, THERESA (OWNER)