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 1770534927)

Medical Affiliates Of Cape Cod, Inc. is a internal medicine physician provider located in Hyannis, Massachusetts. This profile covers 0 Medicare and 118 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Medical Affiliates Of Cape Cod, Inc.
Address	27 Park St
City	Hyannis
State	MA
ZIP	02601
Taxonomy	Internal Medicine Physician
NPI Enumerated	May 12, 2006

Payer Source	Total Paid
Medicaid	$5.9M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

118 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	44,970	$50	$2.4M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	23,060	$50	$1.1M
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	4,810	$90	$423K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	3,460	$80	$287K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	9,790	$30	$254.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	2,770	$90	$238.2K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	2,080	$60	$133.1K
J0585	Injection, onabotulinumtoxina, 1 unit	290	$410	$119.4K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	9,810	$10	$98.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	3,120	$30	$96.6K

Showing 1–10 of 118

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.

Claims Volume vs. Massachusetts Distribution

Medical Affiliates Of Cape Cod, Inc. — 8 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. Massachusetts median

118 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	403	410	140	$110	$742.2K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	69	120	530	$450	$681.5K
J0585	Injection, onabotulinumtoxina, 1 unit	24	40	430	$490	$616K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	65	100	260	$550	$524.4K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	82	100	230	$600	$511.3K
45378	The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…	51	70	160	$620	$428.7K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	98	120	200	$180	$352.7K
43235	The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.	32	40	110	$570	$258.3K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	93	230	380	$90	$256.4K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	57	950	90	$100	$212.9K

Showing 1–10 of 118

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emily Tierney	MA	MOHS-Micrographic Surgery Physician	$2.1M	$0
Thomas Miller	MA	Family Medicine Physician	$364.5K	$448.2K
Benjamin Levin	MA	Internal Medicine Physician	$683.3K	$0
Mark Wolfe	MA	Cardiovascular Disease Physician	$515.7K	$0
Michael Levangie	MA	Cardiovascular Disease Physician	$434.6K	$0
Eric Fortier	MA	Medical Physician Assistant	$412.6K	$0
John Hostetter	MA	Cardiovascular Disease Physician	$397.1K	$0
Ramon Espinosa	MA	Internal Medicine Physician	$368.2K	$0
Paul Dimond	MA	Orthopaedic Surgery Physician	$346.8K	$0
Kenneth Spector	CT	Interventional Cardiology Physician	$335.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cape Cod Hospital Inc	MA	General Acute Care Hospital	$0	$86.9M
Relief Home Health Services Inc	MA	Home Health Agency	$0	$37.2M
Harbor Health Services, Inc.	MA	Community Health Clinic/Center	$0	$21.8M
Capeabilities	MA	Developmentally Disabled Services Day Training Agency	$0	$18M
Duffy Health Center, Inc	MA	Federally Qualified Health Center (FQHC)	$0	$16.8M
Coastal Medical Transportation Services LLC	MA	Land Ambulance	$5.2M	$10.2M
Coastal Ambulance LLC	MA	Land Ambulance	$5.1M	$8.2M
The Commonwealth Of Massachusetts	MA	Case Management Agency	$0	$9M
Advantage Home Health Care Services LLC	MA	Home Health Agency	$0	$8.5M
Habilitation Assistance Corportation	MA	Developmentally Disabled Services Day Training Agency	$0	$7.3M

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

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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