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NPI 1194718312 · Sandwich, MA · Ambulatory Surgical Clinic/Center
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Cape Cod Asc LLC is a ambulatory surgical clinic/center provider located in Sandwich, Massachusetts. This profile covers 20 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Cape Cod Asc LLC |
| Address | 280 Heritage Park |
| City | Sandwich |
| State | MA |
| ZIP | 02563 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | August 23, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.4M |
| Medicaid | $25.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
20 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 840 | $920 | $776.5K |
| 29827 | The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and… | 30 | $2,490 | $82.1K |
| 29848 | The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness. | 130 | $620 | $80.1K |
| 64721 | Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which… | 100 | $720 | $70.9K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 270 | $220 | $59.1K |
| 26055 | Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may… | 70 | $550 | $40.4K |
| 65820 | The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma. | 20 | $1,670 | $38.4K |
| 26123 | The provider surgically removes fascial tissue from part of the palm and releases one finger, including the middle joint of that finger. Treatment may include Z–plasty, rearranging local tissue, or… | 20 | $1,200 | $28.7K |
| 29881 | The provider examines the inside of the knee joint with an arthroscope. She repairs the joint by removing the meniscus, a crescent shaped cartilage cushion, from either the medial or lateral… | 20 | $1,210 | $27.8K |
| 29876 | The provider examines the inside of the knee joint with an arthroscope to inspect and repair the membrane between the bony surfaces and the joint capsule. She inserts instruments and excises synovial… | 30 | $870 | $27.7K |
Showing 1–10 of 20
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
20 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 80 | 330 | 170 | $200 | $143.2K |
| J1097 | 7 | 10 | 280 | $80 | $62.6K |
| 65820 | 19 | 30 | 30 | $1,050 | $37.9K |
| 66982 | 130 | 140 | 30 | $680 | $36.9K |
| 15823 | 10 | 40 | 30 | $610 | $24.8K |
| 29827 | 11 | 80 | 20 | $930 | $21.4K |
| 64721 | 4 | 80 | 30 | $400 | $18K |
| 29876 | 2 | 10 | 30 | $660 | $17.8K |
| 66821 | 15 | 240 | 40 | $210 | $17.4K |
| 29848 | 1 | 40 | 30 | $430 | $17.3K |
Showing 1–10 of 20
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 70 | $380 | $25.6K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 240 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 170 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 48 | 60 | 330 | $380 | $352.9K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 21 | 40 | 350 | $1 | $560 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 14 | 20 | 390 | $1 | $160 |
Other providers in the same ZIP code as Cape Cod Asc LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| New England Home Medical Equipment, LLC | MA | Durable Medical Equipment & Medical Supplies | $0 | $56.2M |
| Cape Medical Supply LLC | MA | Durable Medical Equipment & Medical Supplies | $0 | $15.7M |
| Urgi Center Medical Group | MA | Urgent Care Clinic/Center | $0 | $5.8M |
| Cape Cod Eye Surgery & Laser Center, LLC | MA | Ambulatory Surgical Clinic/Center | $3.5M | $238.2K |
| Cape Cod Pet/ct Services LLC | MA | Mobile Radiology Clinic/Center | $2.1M | $445.1K |
| Town Of Sandwich | MA | Ambulance | $623.9K | $636.6K |
| Michael Oats | MA | Ophthalmology Physician | $933.3K | $0 |
| Ramon Espinosa | MA | Internal Medicine Physician | $368.2K | $0 |
| Jessica Provo | MA | Family Medicine Physician | $333.8K | $0 |
| Susan Shanley | MA | Physical Therapist | $143.8K | $0 |
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