Lab
Cap Diagnostics LLC
Cap Diagnostics LLC was paid $125K by Medicaid between May 2020 and Jan 2023, across 10 billing codes. Its largest line is 87801, Infectious agent detection by nucleic acid; amplified probe, multiple organisms — 31% of everything it billed.
33Billing provider infoCAP DIAGNOSTICS LLC
ROYAL OAK, MI 48073
ROYAL OAK, MI 48073
33aNPI1891279931assigned 09/24/2018
33bProvider typeClinical Medical Laboratory
28Total paid$125K
24GClaims6,505
24DCodes billed10
24AFirst – last monthMay 2020 – Jan 2023
Compared with peers
Next to other Clinical Medical Laboratory providers in Michigan
Rank by total paid#75 of 108
Median peer was paid$588K
This provider vs. median0.2×
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 | 634 | $4K | |
| 2021 | 2,725 | $53K | |
| 2022 | 3,027 | $66K | |
| 2023 | 119 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | 31% | 910 | 872 | $39K |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 31% | 938 | 900 | $39K |
| 87481 | 21% | 945 | 906 | $26K | |
| 87653 | 6.6% | 951 | 908 | $8K | |
| 87640 | 2.8% | 944 | 906 | $4K | |
| 87500 | 2.8% | 915 | 875 | $4K | |
| 87511 | 2.0% | 362 | 345 | $3K | |
| 87529 | 1.5% | 180 | 170 | $2K | |
| 87532 | <1% | 180 | 170 | $1K | |
| 87496 | <1% | 180 | 170 | $1K |
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 officialDELBRIDGE, PAMELA (VP COMPLIANCE)
Parent organizationCAP DIAGNOSTICS LLC
| Provider | Location | Paid |
|---|---|---|
| Cap Diagnostics LLC | Irvine, CA | $10.76M |
| Cap Diagnostics LLC | Lake Mary, FL | $643K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.