Clinic
Community Health Center of Cape Cod, INC.
Community Health Center of Cape Cod, INC. was paid $30.22M by Medicaid between Jan 2018 and Dec 2024, across 108 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 44% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH CENTER OF CAPE COD, INC.
MASHPEE, MA 02649
MASHPEE, MA 02649
33aNPI1821193145assigned 09/13/2006
33bProvider typeCommunity Health Clinic/Center
28Total paid$30.22M
24GClaims541,310
24DCodes billed108
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community Health Clinic/Center providers in Massachusetts
Rank by total paid#8 of 36
Median peer was paid$3.62M
This provider vs. median8.4×
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 | 83,445 | $3.64M | |
| 2019 | 96,288 | $4.08M | |
| 2020 | 70,820 | $3.82M | |
| 2021 | 87,892 | $4.82M | |
| 2022 | 78,993 | $7.00M | |
| 2023 | 69,381 | $4.23M | |
| 2024incomplete | 54,491 | $2.63M |
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 | 44% | 92,986 | 72,843 | $13.40M |
| 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 | 11% | 20,191 | 17,448 | $3.18M |
| D9450 | 8.9% | 84,952 | 48,684 | $2.69M | |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 3.6% | 8,027 | 4,787 | $1.09M |
| D1110 | Prophylaxis - adult | 2.8% | 28,060 | 19,536 | $843K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.5% | 11,320 | 6,416 | $746K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.0% | 4,261 | 4,230 | $618K |
| D2740 | Crown - porcelain/ceramic | 2.0% | 1,193 | 979 | $604K |
| 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 | 1.9% | 18,305 | 14,759 | $581K |
| D0210 | Intraoral - complete series of radiographic images | 1.3% | 10,334 | 7,046 | $393K |
| D0274 | Bitewings - four radiographic images | 1.2% | 18,120 | 13,098 | $376K |
| D0180 | 1.2% | 16,931 | 12,106 | $364K |
96 more codes
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.1% | 7,954 | $340K |
| D0140 | Limited oral evaluation - problem focused | <1% | 12,920 | $274K |
| D0120 | Dental checkup, returning patient | <1% | 19,565 | $262K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 6,745 | $229K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 5,871 | $227K |
| D2751 | Crown - porcelain fused to predominantly base metal | <1% | 535 | $203K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 21,796 | $202K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 4,921 | $180K |
| D2331 | <1% | 3,673 | $173K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 3,539 | $165K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 4,537 | $159K |
| D2335 | <1% | 2,189 | $154K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 21,553 | $154K |
| D2332 | <1% | 2,696 | $152K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 6,263 | $126K |
| D2950 | <1% | 955 | $111K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 3,208 | $111K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 7,540 | $108K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 3,481 | $98K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 8,398 | $95K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 802 | $94K |
| 90677 | <1% | 345 | $92K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 9,977 | $91K |
| D2330 | <1% | 2,239 | $85K | |
| D4342 | <1% | 1,981 | $85K | |
| D1120 | Dental cleaning, child | <1% | 1,741 | $85K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 994 | $83K |
| D0330 | Panoramic radiographic image | <1% | 2,288 | $82K |
| D2160 | <1% | 1,909 | $77K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,406 | $69K |
| D4341 | <1% | 1,633 | $66K | |
| 90686 | <1% | 3,543 | $62K | |
| 90715 | <1% | 1,734 | $56K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 1,897 | $53K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 1,682 | $48K |
| 92015 | Determination of refractive state | <1% | 3,860 | $46K |
| D9110 | <1% | 1,923 | $44K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 293 | $43K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 5,802 | $36K |
| 97803 | <1% | 857 | $35K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 4,305 | $35K |
| 90732 | <1% | 416 | $34K | |
| 93000 | <1% | 2,091 | $31K | |
| D2140 | <1% | 899 | $29K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 838 | $25K |
| D1351 | Sealant - per tooth | <1% | 606 | $23K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 289 | $22K |
| D2394 | <1% | 422 | $21K | |
| 0001A | <1% | 456 | $21K | |
| 90651 | <1% | 85 | $19K | |
| D5211 | <1% | 96 | $19K | |
| 81025 | <1% | 2,667 | $18K | |
| 0002A | <1% | 380 | $17K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 79 | $14K |
| 0012A | <1% | 281 | $13K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,570 | $12K |
| 0011A | <1% | 313 | $12K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,121 | $12K |
| D0270 | <1% | 1,620 | $12K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 780 | $10K |
| 92341 | <1% | 274 | $10K | |
| D2161 | <1% | 187 | $9K | |
| 97802 | <1% | 69 | $7K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,048 | $7K |
| 92552 | <1% | 389 | $7K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 95 | $6K |
| 81003 | <1% | 3,062 | $6K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 767 | $6K |
| D5212 | <1% | 25 | $5K | |
| 0031A | <1% | 101 | $5K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 94 | $4K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 71 | $4K |
| 99050 | <1% | 67 | $3K | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 274 | $3K |
| 0134A | <1% | 66 | $3K | |
| D0272 | Bitewings - two radiographic images | <1% | 166 | $3K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 72 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 78 | $671.37 |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 111 | $485.13 |
| 82947 | <1% | 110 | $400.95 | |
| 81002 | <1% | 119 | $300.94 | |
| 82948 | <1% | 60 | $115.90 | |
| 99442 | <1% | 36 | $104.05 | |
| 0064A | <1% | 160 | $91.74 | |
| 96160 | <1% | 2,646 | $46.66 | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 95 | $1.00 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 33 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 576 | $0.00 |
| 91301 | 0% | 43 | $0.00 | |
| 91306 | 0% | 156 | $0.00 | |
| 99439 | 0% | 13 | $0.00 | |
| 99406 | 0% | 19 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 220 | $0.00 |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | 0% | 726 | $0.00 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 0% | 12 | $0.00 |
| 91313 | 0% | 31 | $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 officialGARDNER, KAREN (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Tri-Generations LLC Central Ky | Campbellsville, KY | $36.12M |
| Reach for the Stars Case Management | Campbellsville, KY | $5.43M |
| Food for Thought | Forestville, CA | $314K |
| Community Health Center of Cape Cod, INC. | Bourne, MA | $240K |
| Community Health Center of Cape Cod, INC. | Falmouth, MA | $195K |
| Focus Employment Services, LLC | Phoenix, AZ | $103K |
| Focus Employment Services | Tempe, AZ | $11K |
| Community Health Center of Cape Cod INC | North Falmouth, MA | $4K |
| Community Health Center of Cape Cod, INC. | Sandwich, MA | $2K |
| Focus Employment Services, LLC | Phoenix, AZ | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.