Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidCapitol Medical Supply Inc
    Ask Trek AI about this page

    Capitol Medical Supply Inc — Billing Profile & Reimbursement Data

    NPI 1922139104 · Washington, DC · Durable Medical Equipment & Medical Supplies

    Customize your policy alerts

    Sign up for Capitol Medical Supply Inc — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Capitol Medical Supply Inc is a durable medical equipment & medical supplies provider located in Washington, District of Columbia. This profile covers 0 Medicare and 28 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCapitol Medical Supply Inc
    Address1618 7th St Nw
    CityWashington
    StateDC
    ZIP20001
    TaxonomyDurable Medical Equipment & Medical Supplies
    NPI EnumeratedMarch 8, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$18M
    Medicare$0

    Key Findings

    This provider is effectively single‑payer in the available data: there is no Medicare billing on file while lifetime Medicaid revenue totals $18M. Precomputed estimates show the top 3 Medicaid codes account for 76.3% of the provider’s total Medicaid revenue, indicating a highly concentrated Medicaid revenue base.

    Revenue is heavily concentrated in one line item: A6250 (skin sealants, protectants, moisturizers, ointments) generates $11.9M, which is 66.3% of the provider’s Medicaid revenue and places the provider at #2 of 13 providers in-state (92th percentile). That single code dominates the business profile and is explicitly flagged as notably above typical state volume for this code.

    The overall product mix—A6250 plus large volumes of underpads A4554 and gloves A4927 and multiple T45xx incontinence codes—characterizes the operation as a consumable DME/supplies supplier focused on skin care and continence management rather than durable devices. High claim counts and revenue for disposable incontinence products and wound/skin care items suggest the provider likely serves sustained needs for home health patients or long‑term care populations.

    Beyond A6250, the provider ranks highly across several common supply codes: A4554 (14.3K claims, $960K, #2 of 16, 93th percentile) and A4927 (22.3K claims, $824.7K, #2 of 18, 94th percentile) both show top‑tier statewide ranking while being described as typical, unremarkable volume for those codes. This pattern—many #2 ranks at high percentiles but labeled typical—suggests the provider is a major statewide participant within a market that may have few active suppliers rather than being an extreme national outlier for those items.

    The provider holds category leadership for specific sizes/products: T4543 (adult disposable incontinence product above extra large) is $611.7K and ranks #1 of 8 providers in-state (100th percentile), and A4244 and A4371 also show 100th percentile rankings in their small categories. These #1 and 100th percentile positions indicate clear dominance for certain niche product SKUs within the state even though those SKUs contribute materially less to overall revenue than A6250.

    Heavy reliance on A6250 and the top three codes (76.3% of Medicaid revenue) creates concentration sensitivity: changes in state coverage policies, reimbursement rates, or contract terms for skin sealants and the top consumables could materially affect the provider’s Medicaid revenue. The breadth of smaller‑revenue codes (many with single‑digit percent contributions) provides some diversification but does not offset the dominance of the top line item.

    Although the NPI was enumerated on 2007-03-08 (~19 years ago), the absence of any Medicare billing indicates the business has either chosen to focus on Medicaid or has not participated in Medicare fee‑for‑service markets. Long tenure with a Medicaid‑only footprint is an important operational signal for payers and partners evaluating contracting, audit, or network strategies.

    Competitive positioning is mixed: the provider is a regional leader for A6250 and certain incontinence sizes (high ranks and 100th percentile in select codes), while many other high‑rank codes are described as typical, unremarkable volume. For payers and analysts this implies a dependable supplier for specific skin and continence consumables, but one whose apparent statewide prominence may reflect market structure as much as extraordinarily high utilization per se.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    28 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A6250Skin sealants, protectants, moisturizers, ointments, any type, any size27,100$440$11.9M
    A4554Disposable underpads, all sizes14,330$70$960K
    A4927Gloves, non-sterile, per 10022,290$40$824.7K
    A4245Alcohol wipes, per box3,270$220$726.4K
    T4543Adult sized disposable incontinence product, protective brief/diaper, above extra large, each3,190$190$611.7K
    T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each8,170$70$604.4K
    T4524Adult sized disposable incontinence product, brief/diaper, extra large, each4,610$130$585.1K
    A6260Wound cleansers, any type, any size9,990$60$569.5K
    T4523Adult sized disposable incontinence product, brief/diaper, large, each4,730$120$548.3K
    T4521Adult sized disposable incontinence product, brief/diaper, small, each2,360$90$212.6K

    Showing 1–10 of 28

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. District of Columbia median

    28 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A6250Skin sealants, protectants, moisturizers, ointments, any type, any size2103,060$220$1.8M
    T4523Adult sized disposable incontinence product, brief/diaper, large, each3101,870$130$502.3K
    A4554Disposable underpads, all sizes2203,210$70$459.6K
    T4524Adult sized disposable incontinence product, brief/diaper, extra large, each2101,140$140$339.9K
    T4522Adult sized disposable incontinence product, brief/diaper, medium, each4101,860$100$306.7K
    A6260Wound cleansers, any type, any size2103,170$50$302.1K
    T4543Adult sized disposable incontinence product, protective brief/diaper, above extra large, each1101,120$190$256.3K
    T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each2101,130$70$249.2K
    T4521Adult sized disposable incontinence product, brief/diaper, small, each2102,360$100$198.1K
    T4529Pediatric sized disposable incontinence product, brief/diaper, small/medium size, each3101,300$110$194.9K

    Showing 1–10 of 28

    Nearby Providers

    Other providers in the same ZIP code as Capitol Medical Supply Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Human Touch Home Health Care Services IncDCHome Health Agency$0$61.3M
    Hillcrest Children's CenterDCAdult Mental Health Clinic/Center$0$33.6M
    Ccbamdc IncDCAdult Day Care Clinic/Center$0$11.6M
    Volunteers Of America Chesapeake IncDCMental Health Clinic/Center (Including Community Mental Health Center)$0$6.9M
    United Planning OrganizationDCMethadone Clinic$0$6.4M
    Some, IncDCFederally Qualified Health Center (FQHC)$0$5M
    Bread For The City,inc.DCFederally Qualified Health Center (FQHC)$0$4.9M
    Open Arms HousingDCCase Management Agency$0$3.3M
    Ayesha SiddiquiDCFamily Medicine Physician$2.4M$0
    Unity Health Care, IncDCFederally Qualified Health Center (FQHC)$0$2.3M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. District of Columbia Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. District of Columbia Distribution
    Capitol Medical Supply Inc — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — District of Columbia