Capitol Care Medical Associates

Capitol Care Medical Associates was paid $655K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 35% of everything it billed.

33Billing provider infoCAPITOL CARE MEDICAL ASSOCIATES
WASHINGTON, DC 20032

33aNPI1891882098assigned 10/07/2006

33bProvider typePulmonary Disease Physician

28Total paid$655K

24GClaims12,077

24DCodes billed12

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in District of Columbia

Rank by total paid#1 of 6

Median peer was paid$1K

This provider vs. median517×

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	1,168	$87K
2019	1,393	$83K
2020	2,222	$105K
2021	2,502	$97K
2022	1,335	$68K
2023	1,484	$94K
2024incomplete	1,973	$122K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	35%	5,765	1,128	$231K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	33%	2,716	2,530	$219K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	20%	1,964	747	$128K
99254		5.1%	194	174	$34K
99223	Prolong inpt eval add15 m	2.9%	191	178	$19K
94003		1.7%	500	69	$11K
94004		1.5%	610	80	$10K
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%	43	40	$2K
99222	Initial hospital care, per day, moderate complexity	<1%	15	13	$597.48
94060		<1%	26	26	$218.80
94726		<1%	27	27	$208.51
94729		<1%	26	26	$155.20

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 officialCRAIG, JULIAN (OWNER)