CAPITAL CARE, INC
NPI: 1851834501
· WASHINGTON, DC, DC 20011
· Respite Care
· NPI assigned 11/29/2016
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
97% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$83.58M
Total Medicaid Paid
Provider Details
| Authorized Official | ATANG, PAUL (PRESIDENT AND CEO) |
| NPI Enumeration Date | 11/29/2016 |
Related Entities
Other providers sharing the same authorized official: ATANG, PAUL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
9,035 |
$1.10M |
| 2019 |
60,049 |
$7.03M |
| 2020 |
85,565 |
$12.64M |
| 2021 |
85,404 |
$13.21M |
| 2022 |
69,202 |
$12.26M |
| 2023 |
98,556 |
$19.98M |
| 2024 |
88,317 |
$17.37M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1019 |
Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
474,122 |
17,328 |
$81.20M |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
21,009 |
17,031 |
$2.38M |
| S9123 |
Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) |
997 |
928 |
$28.00 |