Outer Cape Health Services, Inc.
Outer Cape Health Services, Inc. is a federally qualified health center (FQHC) in Massachusetts and a Health Center Program awardee, funded in part by Section 330 of the Public Health Service Act. Its service delivery sites include Wellfleet, Centerville, Harwich, Harwich Port, and Provincetown. In 2025 it served 18,412 patients, down 5.4% from 19,470 in 2024. 4.0% of its patients were uninsured, compared with 14.7% across Massachusetts health centers and 17.2% nationally.
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18,412Patients served, 2025
4.0%of patients uninsured
14.6%of patients on Medicaid/CHIP
$2,584Total accrued cost per patient
$837Cost per visit
Outer Cape Health Services, Inc. compared with Massachusetts and the nation, 2025
| Measure | Outer Cape Health Services, Inc. | Massachusetts health centers | National |
|---|---|---|---|
| Patients | |||
| Children under 18 | 7.9% | 21.1% | 28.6% |
| Adults 65 and older | 39.6% | 14.2% | 12.8% |
| At or below 200% of the federal poverty guideline | 45.8% | 87.9% | 90.0% |
| Insurance status | |||
| Uninsured | 4.0% | 14.7% | 17.2% |
| Medicaid / CHIP | 14.6% | 41.0% | 47.9% |
| Medicare | 37.3% | 12.2% | 11.6% |
| Private insurance | 43.7% | 29.9% | 23.0% |
| Cost | |||
| Total accrued cost per patient | $2,584 | $2,419 | $1,672 |
| Cost per visit | $837 | $639 | $438 |
| Clinical quality | |||
| Cervical cancer screening | 64.9% | 66.8% | 57.0% |
| Colorectal cancer screening | 60.5% | 53.0% | 44.9% |
| Breast cancer screening | 70.9% | 65.2% | 56.0% |
| Controlling high blood pressure | 69.1% | 69.3% | 69.1% |
| Diabetes: HbA1c poor control (lower is better) | 18.4% | 22.1% | 26.3% |
| Depression screening and follow-up | 55.1% | 66.4% | 75.3% |
| Childhood immunization status | 16.2% | 45.7% | 29.5% |
| Tobacco screening and cessation | 67.8% | 81.0% | 84.8% |
| Statin therapy for cardiovascular disease | 73.6% | 78.7% | 79.0% |
Patients by service
| Service | 2025 |
|---|---|
| Medical | 18,210 |
| Dental | 0 |
| Mental health | 1,156 |
| Total clinic visits | 56,841 |
Trends, 2016–2025
| Year | Patients | Cost per patient | Uninsured | Medicaid/CHIP |
|---|---|---|---|---|
| 2025 | 18,412 | $2,584 | 4.0% | 14.6% |
| 2024 | 19,470 | $2,249 | 5.5% | 15.5% |
| 2023 | 18,862 | $1,937 | 1.6% | 20.5% |
| 2022 | 18,000 | $1,823 | 2.3% | 20.6% |
| 2021 | 18,959 | $1,446 | 2.0% | 21.0% |
| 2020 | 16,452 | – | 2.1% | 20.1% |
| 2019 | 17,214 | $1,402 | 5.5% | 18.0% |
| 2018 | 16,351 | – | 6.5% | 20.2% |
| 2017 | 16,687 | $1,269 | 7.8% | 19.7% |
| 2016 | 16,799 | $1,306 | 9.3% | 20.1% |
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