Cape Obstetrics and Gynecology PC

Cape Obstetrics and Gynecology PC was paid $14K by Medicaid between Jan 2018 and Oct 2020, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 85% of everything it billed.

33Billing provider infoCAPE OBSTETRICS AND GYNECOLOGY PC
FALMOUTH, MA 02540

33aNPI1891857140assigned 12/14/2006

33bProvider typeObstetrics & Gynecology Physician

28Total paid$14K

24GClaims1,150

24DCodes billed3

24AFirst – last monthJan 2018 – Oct 2020

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Massachusetts

Rank by total paid#87 of 216

Median peer was paid$7K

This provider vs. median2.0×

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	574	$9K
2019	396	$3K
2020	180	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	85%	258	247	$12K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	14%	24	24	$2K
99000		<1%	868	860	$121.40

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 officialTALBERT, JEAN (OWNER)