NP / PA
Physicians of Falmouth Hospital
Physicians of Falmouth Hospital was paid $346K by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 28% of everything it billed.
33Billing provider infoPHYSICIANS OF FALMOUTH HOSPITAL
FALMOUTH, MA 02540
FALMOUTH, MA 02540
33aNPI1821363698assigned 03/13/2012
33bProvider typePhysician Assistant
28Total paid$346K
24GClaims8,016
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Physician Assistant providers in Massachusetts
Rank by total paid#12 of 272
Median peer was paid$6K
This provider vs. median56×
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 | 783 | $35K | |
| 2019 | 828 | $51K | |
| 2020 | 597 | $30K | |
| 2021 | 1,408 | $59K | |
| 2022 | 810 | $27K | |
| 2023 | 1,673 | $64K | |
| 2024incomplete | 1,917 | $80K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 28% | 2,534 | 1,376 | $96K |
| 99223 | Prolong inpt eval add15 m | 18% | 711 | 705 | $63K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 10% | 1,256 | 738 | $35K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 8.4% | 943 | 869 | $29K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 8.4% | 237 | 83 | $29K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.3% | 575 | 536 | $25K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 6.8% | 358 | 288 | $23K |
| 99239 | Hospital discharge day management, more than 30 minutes | 5.1% | 386 | 380 | $18K |
| 76819 | Fetal biophysical profile; without non-stress testing | 2.6% | 331 | 286 | $9K |
| 62323 | 1.2% | 37 | 37 | $4K | |
| 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 | 1.2% | 120 | 115 | $4K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | <1% | 71 | 68 | $3K |
8 more codes
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 37 | $2K |
| 76813 | <1% | 32 | $1K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 283 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 14 | $843.61 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $712.08 |
| 99462 | <1% | 15 | $657.30 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 13 | $523.75 |
| 93042 | <1% | 51 | $141.23 |
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 |
| Physicians of Cape Cod Hospital | Hyannis, MA | $5.21M |
| Emergency Physicians of Falmouth | Falmouth, MA | $2.69M |
| 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.