Cape Physicians Associates PA

Cape Physicians Associates PA was paid $4.43M by Medicaid between Jan 2018 and Nov 2024, across 62 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.

33Billing provider infoCAPE PHYSICIANS ASSOCIATES PA
CAPE MAY COURT HOUSE, NJ 08210

33aNPI1003805227assigned 10/20/2005

33bProvider typeFamily Medicine Physician

28Total paid$4.43M

24GClaims105,731

24DCodes billed62

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Family Medicine Physician providers in New Jersey

Rank by total paid#9 of 414

Median peer was paid$28K

This provider vs. median157×

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	8,589	$399K
2019	11,934	$579K
2020	12,767	$496K
2021	19,137	$828K
2022	19,556	$766K
2023	20,990	$844K
2024incomplete	12,758	$518K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	48%	37,225	35,024	$2.12M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	11%	11,513	10,802	$506K
99223	Prolong inpt eval add15 m	6.3%	4,586	4,349	$279K
88305	Level IV - Surgical pathology, gross and microscopic examination	5.5%	4,712	4,536	$245K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	5.4%	7,582	4,621	$241K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	4.8%	2,722	2,583	$210K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	4.2%	7,663	4,823	$187K
99239	Hospital discharge day management, more than 30 minutes	2.5%	3,424	3,264	$113K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.2%	1,323	1,300	$98K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	1.9%	530	515	$84K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	1.2%	1,744	1,700	$53K
88342		1.0%	2,277	2,220	$44K

50 more codes

99204	Doctor's office visit, new patient (more involved)	<1%	477	$40K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	9,111	$37K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	283	$19K
45380	Colonoscopy, flexible; with biopsy, single or multiple	<1%	86	$18K
20610		<1%	426	$17K
99244	Office or other outpatient consultation, moderate to high complexity	<1%	133	$16K
88307		<1%	221	$14K
96127		<1%	4,743	$11K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	232	$9K
93000		<1%	919	$8K
88313		<1%	431	$5K
J1050	Injection, medroxyprogesterone acetate, 1 mg	<1%	106	$5K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	92	$4K
87428		<1%	79	$4K
99406		<1%	517	$3K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	314	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	82	$3K
99205	Prolong outpt/office vis	<1%	25	$3K
88304		<1%	202	$3K
95886		<1%	42	$3K
95251		<1%	153	$2K
99220		<1%	26	$2K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	<1%	13	$2K
51700		<1%	33	$2K
99386		<1%	26	$1K
95806		<1%	12	$1K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	89	$1K
94060		<1%	105	$1K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	204	$1K
99243		<1%	12	$1K
99385		<1%	24	$1K
46600		<1%	15	$836.65
90686		<1%	43	$734.08
99441		<1%	26	$644.74
99238	Hospital discharge day management, 30 minutes or less	<1%	26	$635.68
90682		<1%	12	$630.68
99222	Initial hospital care, per day, moderate complexity	<1%	13	$572.50
94727		<1%	105	$528.87
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	297	$475.22
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	69	$412.13
94729		<1%	105	$363.41
90674		<1%	13	$274.37
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	62	$274.13
95816		<1%	15	$225.30
99459		<1%	13	$187.22
83036	Hemoglobin; glycosylated (A1C)	<1%	142	$57.50
82962		<1%	62	$3.38
3074F		0%	127	$0.00
3078F		0%	46	$0.00
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	0%	21	$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 officialMCCOY, ANDREA (OWNER)