Clinic
Outer Cape Health Services, INC.
Outer Cape Health Services, INC. was paid $6.59M by Medicaid between Jan 2018 and Dec 2024, across 68 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 65% of everything it billed.
33Billing provider infoOUTER CAPE HEALTH SERVICES, INC.
HARWICH PORT, MA 02646
HARWICH PORT, MA 02646
33aNPI1255629747assigned 07/18/2011
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$6.59M
24GClaims69,475
24DCodes billed68
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Massachusetts
Rank by total paid#15 of 56
Median peer was paid$1.51M
This provider vs. median4.4×
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 | 6,098 | $521K | |
| 2019 | 11,377 | $984K | |
| 2020 | 10,982 | $1.09M | |
| 2021 | 10,824 | $1.14M | |
| 2022 | 12,772 | $1.78M | |
| 2023 | 10,326 | $823K | |
| 2024incomplete | 7,096 | $251K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 65% | 30,362 | 25,135 | $4.25M |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | 15% | 5,244 | 4,474 | $993K |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 7.1% | 3,388 | 1,710 | $469K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 2.7% | 5,879 | 5,110 | $181K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.7% | 1,311 | 1,307 | $180K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.8% | 692 | 685 | $120K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 414 | 413 | $63K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 2,818 | 2,255 | $56K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 349 | 349 | $55K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,830 | 1,812 | $47K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 250 | 234 | $42K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,055 | 2,051 | $20K |
56 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,522 | $19K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 503 | $16K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 448 | $14K |
| 90686 | <1% | 1,221 | $11K | |
| 90461 | <1% | 448 | $7K | |
| 90688 | <1% | 413 | $6K | |
| 90715 | <1% | 223 | $5K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 2,523 | $4K |
| 90677 | <1% | 41 | $3K | |
| 99050 | <1% | 47 | $2K | |
| 90480 | <1% | 60 | $2K | |
| 96127 | <1% | 219 | $2K | |
| 0012A | <1% | 45 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 194 | $2K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 2,817 | $2K |
| 81025 | <1% | 246 | $2K | |
| 81002 | <1% | 361 | $903.19 | |
| 99443 | <1% | 30 | $848.45 | |
| 99188 | <1% | 26 | $676.00 | |
| 90651 | <1% | 37 | $660.00 | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 42 | $630.62 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 112 | $618.10 |
| 0124A | <1% | 13 | $596.31 | |
| 0001A | <1% | 12 | $550.44 | |
| 0002A | <1% | 12 | $550.44 | |
| G0466 | Community health center visit, new patient | <1% | 12 | $522.17 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 52 | $443.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 32 | $354.30 |
| 90670 | <1% | 67 | $215.00 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 24 | $202.86 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | $19.06 |
| 96160 | <1% | 25 | $2.14 | |
| 91320 | <1% | 34 | $0.30 | |
| 91322 | <1% | 36 | $0.29 | |
| G0008 | Administration of influenza virus vaccine | 0% | 253 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 74 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 155 | $0.00 |
| 91306 | 0% | 70 | $0.00 | |
| 90698 | 0% | 30 | $0.00 | |
| 91303 | 0% | 41 | $0.00 | |
| 91307 | 0% | 42 | $0.00 | |
| 90744 | 0% | 13 | $0.00 | |
| 91301 | 0% | 318 | $0.00 | |
| 90674 | 0% | 159 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 14 | $0.00 |
| 90680 | 0% | 12 | $0.00 | |
| 90685 | 0% | 209 | $0.00 | |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | 0% | 213 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 14 | $0.00 |
| 91300 | 0% | 189 | $0.00 | |
| 90734 | 0% | 24 | $0.00 | |
| 90662 | 0% | 33 | $0.00 | |
| 91312 | 0% | 34 | $0.00 | |
| 90750 | 0% | 13 | $0.00 | |
| 90633 | 0% | 28 | $0.00 | |
| 91313 | 0% | 34 | $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 officialARCHER, DAMIAN (CEO)
| Provider | Location | Paid |
|---|---|---|
| Outer Cape Health Services, INC. | Provincetown, MA | $6.47M |
| Outer Cape Health Services, INC. | Wellfleet, MA | $2.79M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.