Physician
Cape Center Medicine PLLC
Cape Center Medicine PLLC was paid $229K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 67% of everything it billed.
33Billing provider infoCAPE CENTER MEDICINE PLLC
FAYETTEVILLE, NC 28304
FAYETTEVILLE, NC 28304
33aNPI1669851598assigned 05/26/2015
33bProvider typeInternal Medicine Physician
28Total paid$229K
24GClaims15,728
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in North Carolina
Rank by total paid#204 of 616
Median peer was paid$74K
This provider vs. median3.1×
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 | 544 | $20K | |
| 2019 | 555 | $30K | |
| 2020 | 653 | $34K | |
| 2021 | 1,539 | $29K | |
| 2022 | 2,361 | $27K | |
| 2023 | 7,334 | $55K | |
| 2024incomplete | 2,742 | $33K |
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 | 67% | 3,578 | 2,846 | $153K |
| 99199 | Unlisted special service, procedure or report | 31% | 11,579 | 6,586 | $71K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.8% | 176 | 96 | $4K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 279 | 241 | $293.78 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 100 | 96 | $133.97 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 16 | 15 | $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 officialPATEL, SANDIP (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Oak Tree Physical Therapy LLC | Edison, NJ | $124K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.