Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MA › Yarmouth Port › NPI 1770694846
Physician

Urology Associates of Cape Cod, P.C.

Urology Associates of Cape Cod, P.C. was paid $368K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.

33Billing provider infoUROLOGY ASSOCIATES OF CAPE COD, P.C.
YARMOUTH PORT, MA 02675
33aNPI1770694846assigned 08/31/2006
33bProvider typeUrology Physician
28Total paid$368K
24GClaims12,639
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Urology Physician providers in Massachusetts

Rank by total paid#5 of 65
Median peer was paid$4K
This provider vs. median100×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20182,078$59K
20191,679$49K
20201,440$40K
20211,722$42K
20222,080$56K
20232,040$61K
2024incomplete1,600$60K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 47% 5,300 5,050 $172K
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 44% 3,411 3,274 $160K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4.0% 154 154 $15K
51798 2.4% 1,512 1,429 $9K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.1% 397 397 $4K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 1.0% 415 415 $4K
81000 <1% 1,249 1,197 $2K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 53 53 $2K
76775 <1% 12 12 $179.86
81003 <1% 29 27 $1.98
90686 0% 58 58 $0.00
1090F 0% 49 38 $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 officialHOMA, JOHN (PRESIDENT)