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.

Cape Cod Emergency Associates, LLC (NPI 1851346746)

Field	Value
Entity Type	Organization
Organization	Cape Cod Emergency Associates, LLC
Address	27 Park St
City	Hyannis
State	MA
ZIP	02601
Taxonomy	Emergency Medicine Physician
NPI Enumerated	May 23, 2006

Payer Source	Total Paid
Medicaid	$7.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	38,020	$100	$3.6M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	47,080	$70	$3.2M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	9,890	$40	$356.1K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	50	$10	$320
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	10	$10	$80
G8952	Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given	100	$0	$0
G9744	Patient not eligible due to active diagnosis of hypertension	620	$0	$0

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

Cape Cod Emergency Associates, LLC — 1 of 5 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	37	520	120	$130	$1M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	73	550	110	$120	$865.5K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	32	830	130	$120	$671K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	73	90	60	$1	$5.1K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	12	20	90	$1	$1.9K
G8952	Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given	12	20	230	$0	$0
G9744	Patient not eligible due to active diagnosis of hypertension	10	30	320	$0	$0

Nearby Providers

Other providers in the same ZIP code as Cape Cod Emergency Associates, LLC, ranked by combined Medicare and Medicaid revenue.

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

Cape Cod Emergency Associates, LLC — Billing Profile & Reimbursement Data

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Cape Cod Emergency Associates, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References