Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Washington for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Washington only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Washington (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Capstone Medical LLC (NPI 1346711884)

Field	Value
Entity Type	Organization
Organization	Capstone Medical LLC
Address	9501 Lakewood Dr Sw Bldg 24
City	Lakewood
State	WA
ZIP	98499
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	December 10, 2018

Payer Source	Total Paid
Medicaid	$20.7M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

53 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E1161	Manual adult size wheelchair, includes tilt in space	1,760	$3,070	$5.4M
K0005	Ultralightweight wheelchair	2,020	$2,390	$4.8M
E2203	Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches	1,590	$530	$849.1K
E1028	Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other	2,740	$280	$761.4K
E0973	Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each	3,960	$190	$740K
E2613	Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware	1,600	$380	$608.4K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	5,920	$100	$597.5K
E2607	Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth	1,960	$280	$542.4K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	5,390	$90	$490.6K
E2201	Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches	1,100	$420	$457.7K

Showing 1–10 of 53

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Washington providers billing the same CPT/HCPCS codes.

Claims Volume vs. Washington Distribution

Capstone Medical LLC — 10 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. Washington median

53 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E1007	Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction	4	10	200	$4,150	$850.1K
E1161	Manual adult size wheelchair, includes tilt in space	5	20	580	$660	$771K
K0005	Ultralightweight wheelchair	1	10	80	$2,020	$748.4K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	13	50	1,230	$90	$667.8K
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	14	40	1,140	$90	$504.3K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	14	50	920	$70	$497.1K
T4524	Adult sized disposable incontinence product, brief/diaper, extra large, each	18	20	2,520	$100	$491.8K
T4544	Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each	16	20	1,410	$160	$484.6K
T4541	Incontinence product, disposable underpad, large, each	19	60	1,310	$40	$433.9K
K0108	Wheelchair component or accessory, not otherwise specified	8	20	1,510	$160	$423.6K

Showing 1–10 of 53

Nearby Providers

Other providers in the same ZIP code as Capstone Medical LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Greater Lakes Mental Health Foundation Inc	WA	Mental Illness Community Based Residential Treatment Facility	$0	$56M
Rainier Internal Medicine LLC	WA	Primary Care Clinic/Center	$164.9K	$35.1M
Saint Clare Hospital	WA	General Acute Care Hospital	$0	$30M
Pediatric Services Of America, LLC	WA	Nursing Care Agency	$0	$22.4M
Chen And Su, Ps	WA	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$6.3M
Wchs Inc	WA	Methadone Clinic	$171.3K	$6M
Total Renal Care Inc	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.6M
Thi Nguyen	WA	General Practice Dentistry	$0	$3.7M
Asian American Chemical Dependency Treatment Services	WA	Community/Behavioral Health Agency	$0	$3.5M
Neurostim Tms, Ps	WA	Psychiatry Physician	$0	$3.4M

Capstone Medical LLC — Billing Profile & Reimbursement Data

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Capstone Medical LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References