Physician
Physicians of Cape Cod Hospital
Physicians of Cape Cod Hospital was paid $5.21M by Medicaid between Jan 2018 and Dec 2024, across 116 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 12% of everything it billed.
33Billing provider infoPHYSICIANS OF CAPE COD HOSPITAL
HYANNIS, MA 02601
HYANNIS, MA 02601
33aNPI1679832364assigned 05/15/2012
33bProvider typeInternal Medicine Physician
28Total paid$5.21M
24GClaims236,152
24DCodes billed116
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Massachusetts
Rank by total paid#13 of 1,270
Median peer was paid$8K
This provider vs. median624×
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 | 27,825 | $594K | |
| 2019 | 32,258 | $638K | |
| 2020 | 27,997 | $541K | |
| 2021 | 35,098 | $688K | |
| 2022 | 40,077 | $877K | |
| 2023 | 38,435 | $1.06M | |
| 2024incomplete | 34,462 | $815K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 12% | 20,656 | 8,266 | $635K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.8% | 15,223 | 14,504 | $511K |
| 99223 | Prolong inpt eval add15 m | 8.1% | 5,160 | 5,008 | $421K |
| 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 | 7.8% | 9,102 | 8,363 | $407K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 6.4% | 7,463 | 3,757 | $334K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 5.2% | 5,490 | 5,454 | $270K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 5.0% | 2,907 | 1,807 | $259K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 4.9% | 8,734 | 8,725 | $253K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 4.4% | 60,779 | 52,765 | $229K |
| 99220 | 3.2% | 1,673 | 1,591 | $169K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | 2.7% | 8,781 | 8,772 | $138K |
| 71045 | Radiologic examination, chest; single view | 2.3% | 28,496 | 26,465 | $122K |
104 more codes
| 70450 | Computed tomography, head or brain; without contrast material | 2.2% | 6,390 | $115K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 2.1% | 2,726 | $110K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.9% | 2,363 | $101K |
| 99284 | Emergency room visit (serious) | 1.6% | 1,127 | $85K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.4% | 2,355 | $71K |
| 59025 | Fetal non-stress test | 1.2% | 2,176 | $65K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.1% | 1,992 | $57K |
| 71046 | Radiologic examination, chest; 2 views | 1.1% | 9,085 | $56K |
| 76642 | <1% | 2,503 | $51K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 1,234 | $50K |
| 99217 | <1% | 1,175 | $46K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 1,485 | $41K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 2,079 | $38K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 575 | $37K |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 806 | $32K |
| 76830 | Ultrasound, transvaginal | <1% | 1,337 | $31K |
| 76813 | <1% | 721 | $31K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 1,330 | $31K |
| 99462 | <1% | 629 | $27K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 483 | $27K |
| 99460 | <1% | 238 | $24K | |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | <1% | 1,453 | $23K |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 549 | $20K |
| 77066 | Tomosynthesis, mammo | <1% | 747 | $20K |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 282 | $19K |
| 77065 | Tomosynthesis, mammo | <1% | 822 | $18K |
| 49083 | <1% | 379 | $17K | |
| 71250 | <1% | 738 | $17K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 402 | $14K |
| 76536 | <1% | 768 | $13K | |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 509 | $11K |
| 71271 | <1% | 465 | $11K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 12 | $10K |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 251 | $10K |
| 81002 | <1% | 3,543 | $10K | |
| 76770 | <1% | 524 | $9K | |
| 59426 | <1% | 13 | $8K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 186 | $7K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 267 | $7K |
| 76801 | <1% | 151 | $6K | |
| 62323 | <1% | 92 | $5K | |
| 73630 | <1% | 1,022 | $5K | |
| 99443 | <1% | 274 | $5K | |
| 72100 | <1% | 751 | $4K | |
| 99225 | <1% | 288 | $4K | |
| 73221 | <1% | 95 | $4K | |
| 93971 | <1% | 369 | $4K | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 120 | $4K |
| 59430 | <1% | 24 | $3K | |
| 64493 | <1% | 76 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 67 | $3K |
| 93975 | <1% | 78 | $3K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 74 | $3K |
| 27096 | <1% | 59 | $3K | |
| 73610 | <1% | 473 | $3K | |
| 73030 | <1% | 406 | $2K | |
| 77080 | <1% | 477 | $2K | |
| 99221 | <1% | 67 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 41 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 68 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 24 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 24 | $2K |
| 76982 | <1% | 82 | $2K | |
| 99226 | <1% | 20 | $1K | |
| 91200 | <1% | 166 | $1K | |
| 76881 | <1% | 52 | $1K | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 51 | $1K |
| 20553 | <1% | 56 | $1K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 14 | $1K |
| S3005 | Performance measurement, evaluation of patient self assessment, depression | <1% | 82 | $790.79 |
| 72040 | <1% | 110 | $744.57 | |
| 73130 | <1% | 126 | $703.09 | |
| 99464 | <1% | 12 | $653.64 | |
| 93016 | <1% | 84 | $630.33 | |
| 70498 | <1% | 13 | $559.78 | |
| 72141 | <1% | 12 | $519.66 | |
| 95816 | <1% | 15 | $491.26 | |
| 73502 | <1% | 107 | $449.85 | |
| 64494 | <1% | 32 | $428.32 | |
| 99442 | <1% | 27 | $418.66 | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 14 | $402.50 |
| 76882 | <1% | 30 | $378.78 | |
| 73562 | <1% | 60 | $338.40 | |
| 94060 | <1% | 54 | $335.53 | |
| 93880 | <1% | 12 | $307.50 | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 25 | $286.20 |
| 93018 | <1% | 56 | $267.36 | |
| 94727 | <1% | 39 | $251.45 | |
| 94729 | <1% | 50 | $221.69 | |
| 73110 | <1% | 37 | $211.18 | |
| 76775 | <1% | 19 | $209.10 | |
| 77062 | <1% | 12 | $207.24 | |
| 93970 | <1% | 15 | $192.74 | |
| 72070 | <1% | 26 | $176.60 | |
| 99441 | <1% | 24 | $164.65 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13 | $122.70 |
| 77085 | <1% | 27 | $113.90 | |
| 76000 | <1% | 13 | $106.92 | |
| 73564 | <1% | 24 | $105.24 | |
| 81025 | <1% | 13 | $89.55 | |
| 73140 | <1% | 12 | $59.88 | |
| 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% | 22 | $45.28 |
| 99152 | <1% | 24 | $34.67 | |
| 0502F | 0% | 167 | $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 |
| Emergency Physicians of Falmouth | Falmouth, MA | $2.69M |
| 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.