Physician
Cape Cod Orthopedics and Sports Medicine PC
Cape Cod Orthopedics and Sports Medicine PC was paid $1.07M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 19% of everything it billed.
33Billing provider infoCAPE COD ORTHOPEDICS AND SPORTS MEDICINE PC
HYANNIS, MA 02601
HYANNIS, MA 02601
33aNPI1093769101assigned 05/22/2006
33bProvider typeOrthopaedic Surgery Physician
28Total paid$1.07M
24GClaims39,019
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Massachusetts
Rank by total paid#3 of 166
Median peer was paid$10K
This provider vs. median112×
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 | 6,124 | $159K | |
| 2019 | 8,043 | $184K | |
| 2020 | 3,441 | $90K | |
| 2021 | 5,507 | $155K | |
| 2022 | 5,221 | $164K | |
| 2023 | 6,564 | $196K | |
| 2024incomplete | 4,119 | $122K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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% | 4,453 | 4,240 | $201K |
| 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 | 18% | 3,088 | 2,940 | $192K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 15% | 8,567 | 2,965 | $159K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 13% | 1,967 | 1,958 | $139K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 10% | 6,062 | 2,155 | $108K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.8% | 476 | 474 | $52K |
| 73130 | 3.8% | 3,225 | 1,593 | $41K | |
| 20611 | 3.6% | 639 | 531 | $39K | |
| 73630 | 2.0% | 2,100 | 1,123 | $22K | |
| 20610 | 2.0% | 699 | 605 | $22K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 1.9% | 1,106 | 390 | $21K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 1.9% | 1,689 | 619 | $20K |
16 more codes
| 73110 | 1.9% | 1,623 | $20K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 1.1% | 943 | $12K |
| 73600 | <1% | 881 | $9K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 401 | $4K |
| 73030 | <1% | 333 | $3K | |
| 97161 | <1% | 41 | $2K | |
| 97165 | <1% | 26 | $1K | |
| 73562 | <1% | 70 | $794.95 | |
| 73140 | <1% | 48 | $657.86 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 81 | $617.65 |
| 97168 | <1% | 12 | $579.56 | |
| 73502 | <1% | 25 | $372.28 | |
| 97162 | <1% | 12 | $315.96 | |
| 73070 | <1% | 27 | $295.22 | |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 225 | $254.87 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 200 | $45.03 |
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 officialWILLIS, JOHN (CEO)
| Provider | Location | Paid |
|---|---|---|
| Falmouth Pediatric Dentistry | Falmouth, ME | $5.20M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.