ANTHONY CAPITO, MD
Plastic and Reconstructive Surgery Physician · ROANOKE, VA
Individual Active NPI 1427260405
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 209 | 534 | $362,910 | $111,347 | $86,312 |
| 2023 | 245 | 645 | $314,183 | $130,720 | $101,349 |
| 2022 | 229 | 644 | $341,192 | $149,644 | $115,472 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 48 | $124 | $88 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 33 | $85 | $66 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 32 | $61 | $44 |
| 20550 | Injection into tendon or ligament | 32 | $33 | $23 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 28 | $126 | $100 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 22 | $79 | $45 |
| 15004 | Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less | 19 | $246 | $196 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 16 | $61 | $45 |
| 29848 | Release of wrist ligament using an endoscope | 16 | $554 | $443 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 13 | $125 | $99 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | ✓ | 0101251190 | VA |
| Surgery of the Hand (Surgery) Physician | 2086S0105X | 0101251190 | VA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.