Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Massachusetts for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Massachusetts only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Massachusetts (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Medical Affiliates Of Cape Cod, Inc. (NPI 1306391206)

Field	Value
Entity Type	Organization
Organization	Medical Affiliates Of Cape Cod, Inc.
Address	160 Falmouth Rd
City	Mashpee
State	MA
ZIP	02649
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	August 20, 2016

Payer Source	Total Paid
Medicare	$47.9K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	30	$690	$22K
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…	20	$520	$11.9K
26160	In this procedure, the provider excises a lesion, like a cyst or ganglion, from a tendon sheath or joint capsule in the hand or finger.	20	$620	$11.1K
12052	This CPT® code is used for the intermediate repair of wounds to the face, ears, eyelids, nose, lips and/or mucous membranes that are 2.6 to 5.0 cm in size.	30	$110	$2.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Massachusetts Distribution

Medical Affiliates Of Cape Cod, Inc. — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
64721	40	80	30	$400	$18K
26055	49	70	30	$290	$10.2K
12052	34	50	40	$140	$7.3K
26160	5	10	20	$320	$5.4K

Nearby Providers

Other providers in the same ZIP code as Medical Affiliates Of Cape Cod, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Center Of Cape Cod, Inc.	MA	Community Health Clinic/Center	$0	$30.2M
Town Of Mashpee	MA	Land Ambulance	$575.6K	$759.7K
Charles Malis	MA	Family Medicine Physician	$85K	$300.8K
Cvs Pharmacy Inc	MA	Pharmacy	$358.3K	$0
Andrew Enea	MA	Physical Therapist	$311.6K	$0
Walgreen Co	MA	Pharmacy	$297.3K	$0
Jonathan Carroll	MA	Physical Therapist	$174.5K	$0
Craig Jones	MA	Otology & Neurotology Physician	$149.1K	$0
Julia Craig-muller	MA	Family Medicine Physician	$142.7K	$0
Nicholas Abt	MA	Otolaryngology Physician	$112.8K	$0

Medical Affiliates Of Cape Cod, Inc. — Billing Profile & Reimbursement Data

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Medical Affiliates Of Cape Cod, Inc. — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References