Agency
Capitol City Residential Healthcare TN LLC
Capitol City Residential Healthcare TN LLC was paid $29.39M by Medicaid between Oct 2020 and Dec 2024, across 7 billing codes. Its largest line is T2033, Residential care, not otherwise specified (nos), waiver; per diem — 85% of everything it billed.
33Billing provider infoCAPITOL CITY RESIDENTIAL HEALTHCARE TN LLC
FRANKLIN, TN 37067
FRANKLIN, TN 37067
33aNPI1851657761assigned 04/04/2012
33bProvider typeDevelopmentally Disabled Services Day Training Agency
28Total paid$29.39M
24GClaims84,245
24DCodes billed7
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Developmentally Disabled Services Day Training Agency providers in Tennessee
Rank by total paid#1 of 48
Median peer was paid$1.62M
This provider vs. median18×
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 | |
|---|---|---|---|
| 2020 | 2,937 | $853K | |
| 2021 | 16,441 | $5.07M | |
| 2022 | 17,176 | $5.16M | |
| 2023 | 18,995 | $6.27M | |
| 2024incomplete | 28,696 | $12.05M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2033 | Residential care, not otherwise specified (nos), waiver; per diem | 85% | 68,538 | 2,341 | $25.02M |
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | 10% | 7,495 | 269 | $2.97M |
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | 2.4% | 5,621 | 248 | $695K |
| T2016 | A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem | 1.8% | 1,723 | 83 | $534K |
| H0019 | Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem | <1% | 569 | 24 | $164K |
| H2011 | Crisis intervention service, per 15 minutes | <1% | 277 | 67 | $10K |
| 97151 | <1% | 22 | 12 | $505.68 |
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 officialWESTON, JOHN (OWNER/OPERATOR)