Behavioral
Capitol City Family and Education Services
Capitol City Family and Education Services was paid $2.08M by Medicaid between Jan 2018 and Sep 2019, across 1 billing code. Its largest line is 90837, psychotherapy session, about an hour — 100% of everything it billed.
33Billing provider infoCAPITOL CITY FAMILY AND EDUCATION SERVICES
MERRILLVILLE, IN 46410
MERRILLVILLE, IN 46410
33aNPI1942561162assigned 06/05/2012
33bProvider typeAddiction (Substance Use Disorder) Counselor
28Total paid$2.08M
24GClaims32,657
24DCodes billed1
24AFirst – last monthJan 2018 – Sep 2019
Compared with peers
Next to other Addiction (Substance Use Disorder) Counselor providers in Indiana
Rank by total paid#9 of 28
Median peer was paid$313K
This provider vs. median6.6×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration100% of spending on code 90837 with only 1 total codes billed. Highly concentrated billing profile.
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 | 23,967 | $1.36M | |
| 2019 | 8,690 | $718K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 100% | 32,657 | 7,019 | $2.08M |
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 officialSMITH, PRISCILLA (CHIEF EXECUTIVE OFFICER)