Physician
Medical Affiliates of Cape Cod, INC.
Medical Affiliates of Cape Cod, INC. was paid $5.91M by Medicaid between Jan 2018 and Dec 2024, across 118 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoMEDICAL AFFILIATES OF CAPE COD, INC.
HYANNIS, MA 02601
HYANNIS, MA 02601
33aNPI1770534927assigned 05/12/2006
33bProvider typeNeurology Physician
28Total paid$5.91M
24GClaims182,597
24DCodes billed118
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Neurology Physician providers in Massachusetts
Rank by total paid#1 of 101
Median peer was paid$10K
This provider vs. median593×
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 | 29,070 | $996K | |
| 2019 | 30,715 | $1.10M | |
| 2020 | 22,357 | $723K | |
| 2021 | 30,522 | $951K | |
| 2022 | 37,051 | $1.28M | |
| 2023 | 20,416 | $610K | |
| 2024incomplete | 12,466 | $243K |
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 | 40% | 44,973 | 43,249 | $2.38M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 23,058 | 22,205 | $1.10M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.2% | 4,807 | 4,793 | $425K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.9% | 3,458 | 3,428 | $289K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.3% | 9,789 | 9,737 | $255K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.0% | 2,770 | 2,755 | $239K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.2% | 2,079 | 2,067 | $132K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 2.0% | 294 | 178 | $119K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.7% | 9,809 | 9,745 | $100K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 3,115 | 2,786 | $95K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 969 | 963 | $92K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 1.5% | 9,157 | 9,138 | $87K |
106 more codes
| 93000 | 1.2% | 10,808 | $71K | |
| 99204 | Doctor's office visit, new patient (more involved) | 1.1% | 735 | $67K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 1.0% | 2,852 | $61K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,093 | $55K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,033 | $53K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 12,730 | $44K |
| 90461 | <1% | 4,695 | $29K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 827 | $26K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 448 | $25K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 360 | $23K |
| 69210 | <1% | 959 | $14K | |
| 64615 | <1% | 170 | $11K | |
| 96127 | <1% | 3,166 | $9K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 90 | $7K |
| 92557 | <1% | 243 | $7K | |
| 99459 | <1% | 485 | $7K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 54 | $7K |
| 85018 | <1% | 2,035 | $5K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 279 | $4K |
| 99442 | <1% | 403 | $4K | |
| 92567 | <1% | 303 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 314 | $4K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 24 | $3K |
| 92551 | <1% | 319 | $3K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 711 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 208 | $3K |
| 95024 | <1% | 53 | $3K | |
| 20610 | <1% | 95 | $3K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 24 | $2K |
| 95886 | <1% | 61 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 38 | $2K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 14 | $2K |
| 97597 | <1% | 254 | $2K | |
| 99381 | <1% | 24 | $2K | |
| 99441 | <1% | 177 | $2K | |
| 93296 | <1% | 259 | $2K | |
| 0081A | <1% | 44 | $1K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 78 | $1K |
| 90674 | <1% | 84 | $1K | |
| 99205 | Prolong outpt/office vis | <1% | 13 | $1K |
| 59025 | Fetal non-stress test | <1% | 37 | $1K |
| 95117 | <1% | 121 | $1K | |
| 0071A | <1% | 43 | $1K | |
| 99443 | <1% | 51 | $934.67 | |
| 0082A | <1% | 28 | $917.40 | |
| 93793 | <1% | 376 | $906.33 | |
| 99177 | <1% | 533 | $821.16 | |
| 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% | 372 | $703.17 |
| 31575 | <1% | 12 | $695.78 | |
| 43235 | <1% | 13 | $674.10 | |
| 99173 | <1% | 41 | $659.94 | |
| 95115 | <1% | 181 | $651.63 | |
| 0072A | <1% | 27 | $628.83 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 15 | $618.51 |
| 92504 | <1% | 30 | $599.39 | |
| 95251 | <1% | 45 | $385.59 | |
| 90686 | <1% | 4,809 | $371.05 | |
| 87254 | <1% | 18 | $362.88 | |
| 73610 | <1% | 21 | $359.65 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 12 | $311.76 |
| 90670 | <1% | 2,590 | $257.99 | |
| 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% | 48 | $251.09 |
| 73562 | <1% | 19 | $250.80 | |
| 11721 | <1% | 24 | $246.88 | |
| 81002 | <1% | 69 | $211.83 | |
| 92552 | <1% | 14 | $207.36 | |
| 94727 | <1% | 36 | $202.68 | |
| 93295 | <1% | 25 | $184.61 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 15 | $183.96 |
| 94729 | <1% | 36 | $150.23 | |
| 94060 | <1% | 24 | $149.14 | |
| 93018 | <1% | 25 | $141.05 | |
| 87420 | <1% | 12 | $131.28 | |
| ATP16 | <1% | 12 | $108.90 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 17 | $99.51 |
| 99000 | <1% | 2,366 | $49.41 | |
| 82962 | <1% | 261 | $42.58 | |
| 90744 | 0% | 174 | $0.00 | |
| 90697 | 0% | 128 | $0.00 | |
| 90716 | 0% | 123 | $0.00 | |
| 90680 | 0% | 1,616 | $0.00 | |
| 90723 | 0% | 415 | $0.00 | |
| 90651 | 0% | 165 | $0.00 | |
| 90698 | 0% | 1,052 | $0.00 | |
| 91307 | 0% | 78 | $0.00 | |
| 90696 | 0% | 27 | $0.00 | |
| 82040 | 0% | 57 | $0.00 | |
| 94760 | 0% | 111 | $0.00 | |
| 96161 | 0% | 29 | $0.00 | |
| 36416 | 0% | 438 | $0.00 | |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 69 | $0.00 |
| 90677 | 0% | 47 | $0.00 | |
| 84075 | 0% | 57 | $0.00 | |
| 96160 | 0% | 307 | $0.00 | |
| 90633 | 0% | 1,129 | $0.00 | |
| 90648 | 0% | 424 | $0.00 | |
| 90707 | 0% | 79 | $0.00 | |
| 90710 | 0% | 105 | $0.00 | |
| 90734 | 0% | 25 | $0.00 | |
| 90685 | 0% | 416 | $0.00 | |
| 84450 | 0% | 57 | $0.00 | |
| 84460 | 0% | 57 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 12 | $0.00 |
| 82247 | 0% | 57 | $0.00 | |
| 80061 | Lipid panel | 0% | 26 | $0.00 |
| 91308 | 0% | 99 | $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 |
| Urgi Center Medical Group | Sandwich, MA | $5.85M |
| Physicians of Cape Cod Hospital | Hyannis, MA | $5.21M |
| 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.