Clinic
Community Health Center of Cape Cod, INC.
Community Health Center of Cape Cod, INC. was paid $195K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is G0467, community health center visit, returning patient — 70% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH CENTER OF CAPE COD, INC.
FALMOUTH, MA 02540
FALMOUTH, MA 02540
33aNPI1285836080assigned 06/04/2007
33bProvider typeCommunity Health Clinic/Center
28Total paid$195K
24GClaims10,604
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Community Health Clinic/Center providers in Massachusetts
Rank by total paid#27 of 36
Median peer was paid$3.62M
This provider vs. median0.1×
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 | 1,905 | $35K | |
| 2019 | 1,933 | $34K | |
| 2020 | 1,376 | $23K | |
| 2021 | 1,529 | $25K | |
| 2022 | 1,794 | $32K | |
| 2023 | 1,121 | $23K | |
| 2024incomplete | 946 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 70% | 4,021 | 3,560 | $137K |
| 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 | 17% | 955 | 775 | $33K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 11% | 1,478 | 1,205 | $22K |
| 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 | 1.3% | 1,272 | 1,219 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 2,146 | 1,925 | $1K |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 12 | 12 | $44.55 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 228 | 212 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 0% | 110 | 103 | $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% | 14 | 14 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 0% | 12 | 12 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 0% | 342 | 287 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 14 | 14 | $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 officialGARDNER, KAREN (CEO)
| Provider | Location | Paid |
|---|---|---|
| Tri-Generations LLC Central Ky | Campbellsville, KY | $36.12M |
| Community Health Center of Cape Cod, INC. | Mashpee, MA | $30.22M |
| Reach for the Stars Case Management | Campbellsville, KY | $5.43M |
| Food for Thought | Forestville, CA | $314K |
| Community Health Center of Cape Cod, INC. | Bourne, MA | $240K |
| Focus Employment Services, LLC | Phoenix, AZ | $103K |
| Focus Employment Services | Tempe, AZ | $11K |
| Community Health Center of Cape Cod INC | North Falmouth, MA | $4K |
| Community Health Center of Cape Cod, INC. | Sandwich, MA | $2K |
| Focus Employment Services, LLC | Phoenix, AZ | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.