Cape Cod Emergency Associates, LLC

Cape Cod Emergency Associates, LLC was paid $7.15M by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 99285, emergency room visit (most serious) — 51% of everything it billed.

33Billing provider infoCAPE COD EMERGENCY ASSOCIATES, LLC
HYANNIS, MA 02601

33aNPI1851346746assigned 05/23/2006

33bProvider typePhysician Assistant

28Total paid$7.15M

24GClaims95,767

24DCodes billed7

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Physician Assistant providers in Massachusetts

Rank by total paid#2 of 272

Median peer was paid$6K

This provider vs. median1,158×

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	21,526	$1.47M
2019	19,300	$1.35M
2020	14,779	$1.10M
2021	17,531	$1.33M
2022	19,133	$1.51M
2023	1,975	$209K
2024incomplete	1,523	$172K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	51%	38,016	37,730	$3.66M
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	44%	47,075	46,513	$3.13M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	5.0%	9,892	9,833	$357K
93042		<1%	54	54	$300.04
99406		<1%	14	14	$87.62
G9744	Patient not eligible due to active diagnosis of hypertension	0%	618	608	$0.00
G8952	Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given	0%	98	94	$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 officialCORNWALL, CRAIG (CHIEF OF ER DEPT)