Sanphy Podiatry Group, INC.
Sanphy Podiatry Group, INC. was paid $723K by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoSANPHY PODIATRY GROUP, INC.
LYNN, MA 01902
LYNN, MA 01902
33aNPI1164551875assigned 03/06/2007
33bProvider typePodiatrist
28Total paid$723K
24GClaims44,662
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Podiatrist providers in Massachusetts
Rank by total paid#1 of 118
Median peer was paid$16K
This provider vs. median45×
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 | 5,533 | $92K | |
| 2019 | 5,817 | $77K | |
| 2020 | 4,690 | $69K | |
| 2021 | 6,444 | $89K | |
| 2022 | 7,768 | $150K | |
| 2023 | 7,974 | $141K | |
| 2024incomplete | 6,436 | $107K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 53% | 19,741 | 19,361 | $381K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.3% | 1,300 | 1,282 | $67K |
| 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 | 6.0% | 1,367 | 1,344 | $43K |
| 11056 | 5.9% | 3,931 | 3,901 | $43K | |
| 99348 | 5.9% | 3,457 | 3,430 | $43K | |
| 11721 | 5.6% | 5,659 | 5,572 | $40K | |
| 11730 | 4.9% | 692 | 680 | $35K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.6% | 1,132 | 1,120 | $11K |
| 11720 | 1.4% | 2,287 | 2,280 | $10K | |
| G0127 | Trimming of dystrophic nails, any number | 1.3% | 2,258 | 2,254 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 671 | 650 | $8K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.0% | 518 | 516 | $7K |
12 more codes
| 99347 | <1% | 663 | $7K | |
| 11057 | <1% | 306 | $6K | |
| 11755 | <1% | 73 | $5K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 154 | $3K |
| 99349 | <1% | 113 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 15 | $1K |
| 10061 | <1% | 12 | $903.47 | |
| 73630 | <1% | 26 | $204.28 | |
| 11732 | <1% | 16 | $171.59 | |
| 97597 | <1% | 15 | $149.08 | |
| 99307 | <1% | 17 | $125.43 | |
| 99072 | 0% | 239 | $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 officialSANPHY, MARK (DOCTOR)