NP / PA
Emergency Physicians of Falmouth
Emergency Physicians of Falmouth was paid $2.69M by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 99285, emergency room visit (most serious) — 62% of everything it billed.
33Billing provider infoEMERGENCY PHYSICIANS OF FALMOUTH
FALMOUTH, MA 02540
FALMOUTH, MA 02540
33aNPI1376828988assigned 10/14/2011
33bProvider typePhysician Assistant
28Total paid$2.69M
24GClaims35,242
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Physician Assistant providers in Massachusetts
Rank by total paid#3 of 272
Median peer was paid$6K
This provider vs. median435×
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 | 5,734 | $434K | |
| 2019 | 4,679 | $365K | |
| 2020 | 3,253 | $269K | |
| 2021 | 3,600 | $266K | |
| 2022 | 5,942 | $386K | |
| 2023 | 6,711 | $538K | |
| 2024incomplete | 5,323 | $427K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 62% | 18,677 | 18,422 | $1.65M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 36% | 13,623 | 13,480 | $964K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 2.6% | 1,716 | 1,707 | $69K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 12 | 12 | $510.03 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 477 | 466 | $0.00 |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 737 | 724 | $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 officialDAYTON, REBECCA (VP OF REVENUE CYCLE)
| Provider | Location | Paid |
|---|---|---|
| Cape Cod Hospital INC | Hyannis, MA | $86.94M |
| Falmouth Hospital Association INC | Falmouth, MA | $25.40M |
| Medical Affiliates of Cape Cod, INC. | Hyannis, MA | $5.91M |
| Urgi Center Medical Group | Sandwich, MA | $5.85M |
| Physicians of Cape Cod Hospital | Hyannis, MA | $5.21M |
| Physicians of Falmouth Hospital | Falmouth, MA | $346K |
| Cape Cod Hospital INC | Hyannis, MA | $291K |
| Radiologists of Cape Cod Hospital | Hyannis, MA | $51K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.