Cape Cod Healthcare Physicians

Cape Cod Healthcare Physicians was paid $445K by Medicaid between May 2019 and Jul 2021, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 81% of everything it billed.

33Billing provider infoCAPE COD HEALTHCARE PHYSICIANS
HYANNIS, MA 02601

33aNPI1316410434assigned 01/11/2019

33bProvider typeFamily Medicine Physician

28Total paid$445K

24GClaims11,385

24DCodes billed25

24AFirst – last monthMay 2019 – Jul 2021

Compared with peers

Next to other Family Medicine Physician providers in Massachusetts

Rank by total paid#50 of 744

Median peer was paid$10K

This provider vs. median43×

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
2019	5,840	$181K
2020	3,495	$162K
2021	2,050	$101K

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	81%	6,508	6,092	$362K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	18%	1,890	1,814	$78K
80061	Lipid panel	<1%	480	470	$930.82
80050	General health panel	<1%	39	39	$660.66
84439		<1%	114	109	$522.77
99441		<1%	48	45	$344.64
ATP14		<1%	247	244	$303.18
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	71	66	$218.49
93000		<1%	17	17	$202.65
ATP03		<1%	37	37	$191.80
ATP17		<1%	106	106	$164.55
99442		<1%	44	41	$143.88

13 more codes

84443	Thyroid stimulating hormone (TSH)	<1%	12	$141.61
84481		<1%	12	$97.73
83036	Hemoglobin; glycosylated (A1C)	<1%	29	$96.05
36415	Collection of venous blood by venipuncture	<1%	1,278	$78.40
ATP08		<1%	38	$69.84
ATP15		<1%	33	$32.67
80053	Comprehensive metabolic panel	<1%	201	$24.04
80048	Basic metabolic panel (calcium, ionized)	<1%	44	$10.98
84075		<1%	27	$7.68
84460		<1%	28	$6.89
84450		<1%	28	$6.73
82247		<1%	27	$6.52
82040		<1%	27	$6.43

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 officialDAYTON, REBECCCA (VP OF REVENUE CYCLE)