Physician
Essex Surgical Associates, PC
Essex Surgical Associates, PC was paid $6K by Medicaid between Jan 2018 and May 2024, across 6 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 50% of everything it billed.
33Billing provider infoESSEX SURGICAL ASSOCIATES, PC
BEVERLY, MA 01915
BEVERLY, MA 01915
33aNPI1003823105assigned 08/02/2006
33bProvider typeSurgery Physician
28Total paid$6K
24GClaims634
24DCodes billed6
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Surgery Physician providers in Massachusetts
Rank by total paid#38 of 76
Median peer was paid$6K
This provider vs. median1.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 174 | $590.45 | |
| 2019 | 120 | $0.00 | |
| 2020 | 49 | $0.00 | |
| 2021 | 90 | $0.00 | |
| 2022 | 106 | $623.67 | |
| 2023 | 54 | $3K | |
| 2024incomplete | 41 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 50% | 27 | 27 | $3K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 29% | 25 | 25 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 21% | 24 | 24 | $1K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 529 | 500 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 13 | 12 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 16 | 15 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialKAROL, SUSAN (PRESIDENT)