Capital Counseling LLC

Capital Counseling LLC was paid $1.50M by Medicaid between Jul 2018 and Oct 2021, across 1 billing code. Its largest line is H0046, Mental health services, not otherwise specified — 100% of everything it billed.

33Billing provider infoCAPITAL COUNSELING LLC
CHESTER, VA 23831

33aNPI1801395942assigned 02/05/2018

33bProvider typeIn Home Supportive Care Agency

28Total paid$1.50M

24GClaims6,143

24DCodes billed1

24AFirst – last monthJul 2018 – Oct 2021

Compared with peers

Next to other In Home Supportive Care Agency providers in Virginia

Rank by total paid#64 of 106

Median peer was paid$2.84M

This provider vs. median0.5×

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.

Single-Code Concentration100% of spending on code H0046 with only 1 total codes billed. Highly concentrated billing profile.

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	265	$120K
2019	1,272	$518K
2020	2,960	$544K
2021	1,646	$321K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0046	Mental health services, not otherwise specified	100%	6,143	776	$1.50M

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 officialJORDAN, KATHERINE (CEO)