Clinic
Outer Cape Health Services, INC.
Outer Cape Health Services, INC. was paid $2.79M by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 88% of everything it billed.
33Billing provider infoOUTER CAPE HEALTH SERVICES, INC.
WELLFLEET, MA 02667
WELLFLEET, MA 02667
33aNPI1578726790assigned 07/08/2008
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.79M
24GClaims33,250
24DCodes billed42
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Massachusetts
Rank by total paid#25 of 56
Median peer was paid$1.51M
This provider vs. median1.9×
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 | 5,440 | $449K | |
| 2019 | 2,525 | $210K | |
| 2020 | 5,192 | $490K | |
| 2021 | 6,701 | $652K | |
| 2022 | 5,494 | $719K | |
| 2023 | 5,110 | $226K | |
| 2024incomplete | 2,788 | $41K |
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 | 88% | 17,515 | 14,791 | $2.45M |
| 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 | 4.0% | 3,567 | 3,081 | $112K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 196 | 196 | $30K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 772 | 748 | $25K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 178 | 178 | $25K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,024 | 1,012 | $24K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 730 | 693 | $23K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 169 | 169 | $19K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 642 | 475 | $14K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,275 | 1,268 | $12K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,173 | 1,150 | $10K |
| 90686 | <1% | 715 | 713 | $8K |
30 more codes
| T1040 | Medicaid certified community behavioral health clinic services, per diem | <1% | 53 | $7K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 28 | $6K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 29 | $5K |
| 90688 | <1% | 229 | $2K | |
| 0012A | <1% | 39 | $2K | |
| 90480 | <1% | 44 | $2K | |
| 99050 | <1% | 26 | $1K | |
| 96127 | <1% | 128 | $1K | |
| 81002 | <1% | 346 | $926.23 | |
| 90461 | <1% | 66 | $826.56 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 63 | $801.30 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 74 | $789.86 |
| 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 | <1% | 23 | $742.98 |
| 80305 | <1% | 76 | $660.08 | |
| 99188 | <1% | 12 | $312.00 | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 1,445 | $199.12 |
| 90715 | <1% | 12 | $197.16 | |
| 81025 | <1% | 27 | $169.52 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 1,718 | $117.22 |
| 91322 | <1% | 13 | $0.12 | |
| 91301 | 0% | 282 | $0.00 | |
| 91306 | 0% | 92 | $0.00 | |
| 90674 | 0% | 71 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 87 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 13 | $0.00 |
| 91307 | 0% | 57 | $0.00 | |
| 91303 | 0% | 45 | $0.00 | |
| 90685 | 0% | 120 | $0.00 | |
| 91313 | 0% | 27 | $0.00 | |
| 91300 | 0% | 49 | $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. | Harwich Port, MA | $6.59M |
| Outer Cape Health Services, INC. | Provincetown, MA | $6.47M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.