Cape Cod Pediatrics LLP
Cape Cod Pediatrics LLP was paid $3.58M by Medicaid between Jan 2018 and Dec 2024, across 53 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
33Billing provider infoCAPE COD PEDIATRICS LLP
FORESTDALE, MA 02644
FORESTDALE, MA 02644
33aNPI1053423087assigned 08/31/2006
33bProvider typeSpecialist
28Total paid$3.58M
24GClaims140,980
24DCodes billed53
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Massachusetts
Rank by total paid#5 of 179
Median peer was paid$23K
This provider vs. median154×
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 | 17,873 | $529K | |
| 2019 | 18,644 | $546K | |
| 2020 | 18,359 | $522K | |
| 2021 | 21,988 | $659K | |
| 2022 | 25,230 | $765K | |
| 2023 | 22,203 | $383K | |
| 2024incomplete | 16,683 | $176K |
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 | 36% | 21,348 | 19,991 | $1.29M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 15,472 | 14,945 | $695K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.4% | 19,998 | 14,712 | $194K |
| 95930 | 4.8% | 4,619 | 2,301 | $173K | |
| 92587 | 4.4% | 18,519 | 9,583 | $157K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.8% | 8,001 | 7,171 | $135K |
| 99188 | 3.5% | 4,855 | 4,816 | $125K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.5% | 2,476 | 2,447 | $124K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 3.3% | 12,884 | 12,694 | $117K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 2.9% | 776 | 765 | $103K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.8% | 1,851 | 1,826 | $100K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.3% | 1,324 | 1,319 | $83K |
41 more codes
| 99173 | 1.9% | 4,249 | $68K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.5% | 972 | $55K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 920 | $27K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,099 | $18K |
| 94760 | <1% | 9,023 | $17K | |
| 87430 | <1% | 1,153 | $14K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 248 | $14K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 442 | $9K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 74 | $9K |
| 96127 | <1% | 869 | $9K | |
| 90461 | <1% | 468 | $9K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 100 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 165 | $7K |
| 85018 | <1% | 1,795 | $4K | |
| 0072A | <1% | 83 | $4K | |
| 0071A | <1% | 76 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 40 | $2K |
| 99177 | <1% | 471 | $2K | |
| 0154A | <1% | 12 | $550.44 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 13 | $407.16 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 24 | $397.96 |
| 83655 | <1% | 27 | $277.68 | |
| 87807 | <1% | 14 | $150.15 | |
| 92567 | <1% | 12 | $150.12 | |
| 90661 | <1% | 233 | $98.91 | |
| 83718 | <1% | 12 | $79.42 | |
| 82465 | <1% | 15 | $68.87 | |
| 90686 | <1% | 3,080 | $19.58 | |
| 90670 | 0% | 145 | $0.00 | |
| 90648 | 0% | 120 | $0.00 | |
| 90633 | 0% | 41 | $0.00 | |
| 90649 | 0% | 13 | $0.00 | |
| 91311 | 0% | 13 | $0.00 | |
| 36416 | 0% | 2,124 | $0.00 | |
| 91315 | 0% | 14 | $0.00 | |
| 99000 | 0% | 413 | $0.00 | |
| 91307 | 0% | 192 | $0.00 | |
| 90651 | 0% | 17 | $0.00 | |
| 90656 | 0% | 23 | $0.00 | |
| 90677 | 0% | 14 | $0.00 | |
| 90619 | 0% | 39 | $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 officialHEARD, ALEXANDER (PARTNER)