Clinic
Cape Cod Healthcare INC.
Cape Cod Healthcare INC. was paid $4.13M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 40% of everything it billed.
33Billing provider infoCAPE COD HEALTHCARE INC.
HYANNIS, MA 02601
HYANNIS, MA 02601
33aNPI1245286152assigned 05/25/2006
28Total paid$4.13M
24GClaims63,777
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Massachusetts
Rank by total paid#28 of 72
Median peer was paid$1.85M
This provider vs. median2.2×
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 | 11,848 | $751K | |
| 2019 | 12,089 | $747K | |
| 2020 | 12,942 | $788K | |
| 2021 | 8,957 | $562K | |
| 2022 | 8,385 | $523K | |
| 2023 | 6,695 | $567K | |
| 2024incomplete | 2,861 | $189K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 40% | 23,037 | 12,933 | $1.65M |
| 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 | 31% | 18,542 | 17,502 | $1.27M |
| 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% | 17,650 | 17,223 | $793K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.9% | 1,606 | 1,563 | $162K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.6% | 1,643 | 1,378 | $68K |
| 99404 | 1.5% | 373 | 373 | $63K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.5% | 546 | 540 | $63K |
| 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 | <1% | 258 | 258 | $37K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 86 | 69 | $7K |
| 96137 | <1% | 12 | 12 | $5K | |
| 99205 | Prolong outpt/office vis | <1% | 12 | 12 | $2K |
| 96136 | <1% | 12 | 12 | $614.02 |
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 officialCIAVOLA, DEBRA (EXECUTIVE DIRECTOR)
Parent organizationCAPE COD HEALTHCARE INC.