Clinic
Capitol City Family Health Center Incorporated
Capitol City Family Health Center Incorporated was paid $3.09M by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 86% of everything it billed.
33Billing provider infoCAPITOL CITY FAMILY HEALTH CENTER INCORPORATED
PLAQUEMINE, LA 70764
PLAQUEMINE, LA 70764
33aNPI1801210133assigned 02/06/2014
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.09M
24GClaims55,560
24DCodes billed54
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Louisiana
Rank by total paid#55 of 272
Median peer was paid$574K
This provider vs. median5.4×
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 | 3,981 | $239K | |
| 2019 | 6,419 | $356K | |
| 2020 | 5,678 | $372K | |
| 2021 | 8,983 | $387K | |
| 2022 | 8,273 | $479K | |
| 2023 | 12,330 | $698K | |
| 2024incomplete | 9,896 | $562K |
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 | 86% | 22,055 | 14,598 | $2.67M |
| H2020 | Therapeutic behavioral services, per diem | 14% | 4,471 | 1,995 | $421K |
| D0999 | Unspecified diagnostic procedure, by report | <1% | 255 | 138 | $857.22 |
| 3077F | <1% | 454 | 366 | $125.00 | |
| 3079F | <1% | 546 | 467 | $60.00 | |
| 3074F | <1% | 303 | 263 | $50.00 | |
| 3044F | <1% | 92 | 86 | $50.00 | |
| 3080F | <1% | 83 | 56 | $40.00 | |
| 3078F | <1% | 198 | 165 | $30.00 | |
| 3075F | <1% | 41 | 38 | $10.00 | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 507 | 116 | $0.03 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 5,857 | 4,069 | $0.02 |
42 more codes
| 1160F | 0% | 168 | $0.00 | |
| 99173 | 0% | 970 | $0.00 | |
| 3725F | 0% | 645 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 940 | $0.00 |
| 11721 | 0% | 25 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 2,638 | $0.00 |
| 90707 | 0% | 13 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 116 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 231 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 422 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 14 | $0.00 |
| 82947 | 0% | 115 | $0.00 | |
| 90715 | 0% | 38 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 131 | $0.00 |
| 99201 | 0% | 31 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 51 | $0.00 |
| 90658 | 0% | 43 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 15 | $0.00 |
| 80061 | Lipid panel | 0% | 18 | $0.00 |
| 90756 | 0% | 25 | $0.00 | |
| 3008F | 0% | 4,547 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 432 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 1,179 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 5,325 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 525 | $0.00 |
| 92551 | 0% | 821 | $0.00 | |
| 1036F | 0% | 251 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 14 | $0.00 |
| 1126F | 0% | 22 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 218 | $0.00 |
| 81000 | 0% | 113 | $0.00 | |
| 0012A | 0% | 14 | $0.00 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 18 | $0.00 |
| 90686 | 0% | 97 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 118 | $0.00 |
| 86803 | 0% | 18 | $0.00 | |
| 91301 | 0% | 34 | $0.00 | |
| 80053 | Comprehensive metabolic panel | 0% | 18 | $0.00 |
| 0011A | 0% | 15 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 18 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 28 | $0.00 |
| 85018 | 0% | 224 | $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 officialNELSON, KENYA (CREDENTIALING/BILLING MANAGER)
Parent organizationCAPITOL CITY FAMILY HEALTH CENTER, INC
| Provider | Location | Paid |
|---|---|---|
| Capitol City Family Health Center Incorporated | Baton Rouge, LA | $21.54M |
| Capitol City Family Health Center Incorporated | Donaldsonville, LA | $2.35M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.