Clinic
Capstone Health
Capstone Health was paid $4.75M by Medicaid between Jan 2018 and Nov 2024, across 38 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoCAPSTONE HEALTH
PARRISH, AL 35580
PARRISH, AL 35580
33aNPI1821043837assigned 05/24/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$4.75M
24GClaims92,845
24DCodes billed38
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Alabama
Rank by total paid#10 of 82
Median peer was paid$0.00
This provider vs. median0.0×
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 | 13,973 | $545K | |
| 2019 | 14,322 | $660K | |
| 2020 | 11,546 | $550K | |
| 2021 | 15,446 | $909K | |
| 2022 | 14,185 | $775K | |
| 2023 | 13,062 | $727K | |
| 2024incomplete | 10,311 | $588K |
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 | 99% | 41,655 | 31,706 | $4.71M |
| D9430 | <1% | 302 | 185 | $31K | |
| 90688 | <1% | 313 | 275 | $4K | |
| 90674 | <1% | 188 | 186 | $3K | |
| 90651 | <1% | 138 | 132 | $2K | |
| 90734 | <1% | 58 | 56 | $1K | |
| 90715 | <1% | 58 | 57 | $949.92 | |
| 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% | 16,273 | 12,367 | $262.04 |
| 90656 | <1% | 13 | 13 | $201.15 | |
| 90658 | <1% | 14 | 14 | $118.80 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 568 | 459 | $11.12 |
| 36415 | Collection of venous blood by venipuncture | 0% | 15,477 | 10,413 | $0.00 |
26 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 10,808 | $0.00 |
| 99000 | 0% | 309 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 177 | $0.00 |
| 92551 | 0% | 356 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 478 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 79 | $0.00 |
| G0467 | Community health center visit, returning patient | 0% | 627 | $0.00 |
| 96127 | 0% | 33 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 104 | $0.00 |
| 0001A | 0% | 27 | $0.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 39 | $0.00 |
| 0012A | 0% | 43 | $0.00 | |
| 0011A | 0% | 45 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 49 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 19 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 307 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 1,349 | $0.00 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 999 | $0.00 |
| 99173 | 0% | 445 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 12 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 657 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 715 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 37 | $0.00 |
| 81025 | 0% | 14 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 20 | $0.00 |
| 90756 | 0% | 40 | $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 officialJONES, FOSTER (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| The Capstone Rural Health Center | Arley, AL | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.