Clinic
Same Day Surgicare of New England, INC.
Same Day Surgicare of New England, INC. was paid $672K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 47% of everything it billed.
33Billing provider infoSAME DAY SURGICARE OF NEW ENGLAND, INC.
FALL RIVER, MA 02720
FALL RIVER, MA 02720
33aNPI1164469086assigned 05/31/2006
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$672K
24GClaims7,537
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Massachusetts
Rank by total paid#6 of 35
Median peer was paid$210K
This provider vs. median3.2×
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 | 2,011 | $165K | |
| 2019 | 1,517 | $118K | |
| 2020 | 663 | $34K | |
| 2021 | 778 | $32K | |
| 2022 | 766 | $40K | |
| 2023 | 1,026 | $131K | |
| 2024incomplete | 776 | $152K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 47% | 1,662 | 1,662 | $314K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 36% | 1,067 | 1,064 | $239K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 12% | 414 | 414 | $84K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 2.6% | 69 | 69 | $17K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 1.2% | 42 | 39 | $8K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | <1% | 29 | 29 | $6K |
| 43235 | <1% | 38 | 38 | $4K | |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility | 0% | 2,110 | 2,053 | $0.00 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 0% | 2,106 | 2,052 | $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 officialPIMENTAL, STEVEN (CFO)
| Provider | Location | Paid |
|---|---|---|
| Surgicenter Anesthesia Associates, LLC | Fall River, MA | $346K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.