Capital Nephrology Clinic, P.A.

Capital Nephrology Clinic, P.A. was paid $259K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 60% of everything it billed.

33Billing provider infoCAPITAL NEPHROLOGY CLINIC, P.A.
TALLAHASSEE, FL 32308

33aNPI1801248356assigned 07/08/2016

33bProvider typeNephrology Physician

28Total paid$259K

24GClaims12,220

24DCodes billed9

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Nephrology Physician providers in Florida

Rank by total paid#29 of 188

Median peer was paid$28K

This provider vs. median9.1×

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	399	$3K
2019	2,240	$37K
2020	2,586	$41K
2021	2,464	$53K
2022	1,832	$53K
2023	2,211	$61K
2024incomplete	488	$11K

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	60%	8,873	2,103	$155K
99222	Initial hospital care, per day, moderate complexity	16%	1,201	898	$41K
99223	Prolong inpt eval add15 m	8.8%	646	489	$23K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	8.8%	1,019	433	$23K
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	4.1%	180	148	$11K
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	1.4%	156	139	$4K
90961		<1%	35	32	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	95	76	$951.88
90962		<1%	15	12	$740.01

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 officialHOFFMAN, RITA (CREDENTIALING MANAGER)