Physician
Capstone Health Services Foundation PC
Capstone Health Services Foundation PC was paid $780K by Medicaid between Jun 2018 and Nov 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoCAPSTONE HEALTH SERVICES FOUNDATION PC
DEMOPOLIS, AL 36732
DEMOPOLIS, AL 36732
33aNPI1952805400assigned 03/20/2018
33bProvider typeFamily Medicine Physician
28Total paid$780K
24GClaims17,791
24DCodes billed28
24AFirst – last monthJun 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Alabama
Rank by total paid#57 of 455
Median peer was paid$57K
This provider vs. median14×
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 | 242 | $5K | |
| 2019 | 2,886 | $105K | |
| 2020 | 3,016 | $126K | |
| 2021 | 4,051 | $165K | |
| 2022 | 2,755 | $124K | |
| 2023 | 2,998 | $160K | |
| 2024incomplete | 1,843 | $95K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 38% | 4,746 | 4,370 | $295K |
| 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 | 21% | 1,684 | 1,565 | $163K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13% | 1,526 | 1,503 | $102K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.2% | 758 | 743 | $49K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.5% | 2,992 | 2,961 | $35K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 2.8% | 292 | 274 | $22K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.8% | 847 | 815 | $22K |
| 90670 | 2.5% | 999 | 993 | $19K | |
| 90680 | 2.1% | 853 | 848 | $16K | |
| 90698 | 1.5% | 617 | 615 | $12K | |
| 90686 | 1.2% | 505 | 496 | $9K | |
| 90744 | <1% | 313 | 311 | $6K |
16 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 113 | $6K |
| 90671 | <1% | 284 | $6K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 343 | $3K |
| 87428 | <1% | 43 | $2K | |
| 90697 | <1% | 95 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 103 | $2K |
| 90633 | <1% | 78 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 43 | $1K |
| 76801 | <1% | 26 | $1K | |
| 87400 | <1% | 265 | $1K | |
| 87807 | <1% | 126 | $1K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 31 | $1K |
| 90715 | <1% | 24 | $780.01 | |
| 99173 | <1% | 42 | $190.00 | |
| 92551 | <1% | 29 | $125.00 | |
| 81025 | <1% | 14 | $42.00 |
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 officialLUMPKIN, JANNA (CREDENTIALING)
| Provider | Location | Paid |
|---|---|---|
| Capstone Health Services Foundation PC | Livingston, AL | $136K |
| Capstone Health Services Foundation PC | Carrollton, AL | $77K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.