Clinic
Outer Cape Health Services, INC.
Outer Cape Health Services, INC. was paid $6.47M by Medicaid between Jan 2018 and Dec 2024, across 84 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 59% of everything it billed.
33Billing provider infoOUTER CAPE HEALTH SERVICES, INC.
PROVINCETOWN, MA 02657
PROVINCETOWN, MA 02657
33aNPI1841384013assigned 10/03/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$6.47M
24GClaims86,641
24DCodes billed84
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Massachusetts
Rank by total paid#16 of 56
Median peer was paid$1.51M
This provider vs. median4.3×
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 | 21,934 | $1.01M | |
| 2019 | 12,438 | $954K | |
| 2020 | 11,061 | $971K | |
| 2021 | 14,677 | $1.27M | |
| 2022 | 11,298 | $1.24M | |
| 2023 | 9,528 | $676K | |
| 2024incomplete | 5,705 | $348K |
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 | 59% | 25,122 | 20,586 | $3.79M |
| 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 | 12% | 5,969 | 4,793 | $784K |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 9.0% | 4,331 | 2,047 | $585K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 5.8% | 6,154 | 2,916 | $373K |
| 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 | 4.1% | 8,825 | 6,627 | $264K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 6,310 | 5,288 | $85K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 506 | 252 | $53K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 1,161 | 690 | $46K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 1,949 | 1,481 | $41K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 798 | 797 | $37K |
| D9450 | <1% | 3,859 | 1,687 | $34K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,067 | 993 | $32K |
72 more codes
| D1110 | Prophylaxis - adult | <1% | 1,326 | $30K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 909 | $28K |
| T1502 | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit | <1% | 403 | $24K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,689 | $24K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 204 | $22K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 2,901 | $21K |
| 99050 | <1% | 360 | $19K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 466 | $15K |
| D0120 | Dental checkup, returning patient | <1% | 1,062 | $11K |
| 90686 | <1% | 766 | $10K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 347 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 336 | $9K |
| D0140 | Limited oral evaluation - problem focused | <1% | 432 | $8K |
| D0274 | Bitewings - four radiographic images | <1% | 479 | $8K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 102 | $8K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 245 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 349 | $6K |
| D9110 | <1% | 266 | $5K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 27 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 679 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 28 | $5K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 609 | $5K |
| 90688 | <1% | 371 | $5K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 43 | $4K |
| 0012A | <1% | 95 | $4K | |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | <1% | 59 | $4K |
| 90480 | <1% | 86 | $3K | |
| 0124A | <1% | 72 | $3K | |
| D1206 | Topical application of fluoride varnish | <1% | 115 | $3K |
| 92015 | Determination of refractive state | <1% | 268 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 26 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 266 | $3K |
| 90715 | <1% | 78 | $2K | |
| 81002 | <1% | 872 | $2K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 47 | $2K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 25 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 14 | $2K |
| D2331 | <1% | 38 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 112 | $1K |
| D1120 | Dental cleaning, child | <1% | 26 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 31 | $1K |
| 90674 | <1% | 154 | $1K | |
| 0011A | <1% | 24 | $1K | |
| 0064A | <1% | 40 | $963.27 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 108 | $920.70 |
| 93000 | <1% | 63 | $847.16 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 52 | $744.07 |
| 0001A | <1% | 16 | $733.92 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 40 | $277.30 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 13 | $213.07 |
| 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% | 29 | $160.20 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 33 | $105.96 |
| 90662 | <1% | 26 | $91.36 | |
| 91322 | <1% | 65 | $0.57 | |
| 91320 | <1% | 45 | $0.34 | |
| 91312 | 0% | 99 | $0.00 | |
| 90749 | 0% | 153 | $0.00 | |
| 90611 | 0% | 272 | $0.00 | |
| 91300 | 0% | 108 | $0.00 | |
| 90685 | 0% | 45 | $0.00 | |
| 91313 | 0% | 60 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 44 | $0.00 |
| 90750 | 0% | 12 | $0.00 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 19 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 203 | $0.00 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 28 | $0.00 |
| 91306 | 0% | 285 | $0.00 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 0% | 83 | $0.00 |
| 91301 | 0% | 772 | $0.00 | |
| 91307 | 0% | 14 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 13 | $0.00 |
| 91303 | 0% | 43 | $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 officialARCHER, DAMIAN (CEO)
| Provider | Location | Paid |
|---|---|---|
| Outer Cape Health Services, INC. | Harwich Port, MA | $6.59M |
| Outer Cape Health Services, INC. | Wellfleet, MA | $2.79M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.