Physician
Capital City Pediatrics PLLC
Capital City Pediatrics PLLC was paid $765K by Medicaid between Jan 2018 and Nov 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.
33Billing provider infoCAPITAL CITY PEDIATRICS PLLC
CHARLESTON, WV 25311
CHARLESTON, WV 25311
33aNPI1982132858assigned 05/23/2017
33bProvider typePediatrics Physician
28Total paid$765K
24GClaims19,219
24DCodes billed28
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in West Virginia
Rank by total paid#20 of 57
Median peer was paid$409K
This provider vs. median1.9×
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 | 3,911 | $173K | |
| 2019 | 2,028 | $87K | |
| 2020 | 4,413 | $156K | |
| 2021 | 3,162 | $115K | |
| 2022 | 2,837 | $116K | |
| 2023 | 1,937 | $79K | |
| 2024incomplete | 931 | $37K |
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 | 22% | 3,258 | 2,807 | $170K |
| 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 | 19% | 2,011 | 1,690 | $147K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 15% | 1,679 | 1,599 | $115K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 1,618 | 1,558 | $115K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.9% | 746 | 718 | $53K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 6.4% | 3,204 | 2,875 | $49K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 5.2% | 1,481 | 1,381 | $39K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.5% | 383 | 370 | $27K |
| 90686 | 1.5% | 1,741 | 1,661 | $11K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.1% | 550 | 307 | $8K |
| 90670 | 1.0% | 583 | 564 | $8K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 242 | 225 | $7K |
16 more codes
| 90698 | <1% | 79 | $2K | |
| 99000 | <1% | 507 | $2K | |
| 90633 | <1% | 182 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 97 | $2K |
| 90648 | <1% | 391 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 61 | $2K |
| 90681 | <1% | 50 | $2K | |
| 90723 | <1% | 172 | $781.26 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 47 | $562.68 |
| 90474 | <1% | 13 | $332.72 | |
| 90473 | <1% | 14 | $153.08 | |
| 90461 | <1% | 13 | $149.44 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 29 | $141.76 |
| 90651 | 0% | 12 | $0.00 | |
| 90672 | 0% | 44 | $0.00 | |
| 90734 | 0% | 12 | $0.00 |
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 officialROBINSON, CHRISTY (MD/OWNER)