Physician
South Shore Physiatry and Spasticity Management
South Shore Physiatry and Spasticity Management was paid $1.34M by Medicaid between Jan 2018 and Oct 2024, across 10 billing codes. Its largest line is J0585, Injection, onabotulinumtoxina, 1 unit — 57% of everything it billed.
33Billing provider infoSOUTH SHORE PHYSIATRY AND SPASTICITY MANAGEMENT
BRAINTREE, MA 02184
BRAINTREE, MA 02184
33aNPI1275782435assigned 09/12/2008
33bProvider typePhysical Medicine & Rehabilitation Physician
28Total paid$1.34M
24GClaims9,912
24DCodes billed10
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Physical Medicine & Rehabilitation Physician providers in Massachusetts
Rank by total paid#3 of 63
Median peer was paid$20K
This provider vs. median66×
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 | 1,824 | $227K | |
| 2019 | 1,616 | $214K | |
| 2020 | 1,121 | $152K | |
| 2021 | 1,254 | $188K | |
| 2022 | 1,377 | $186K | |
| 2023 | 1,332 | $184K | |
| 2024incomplete | 1,388 | $188K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J0585 | Injection, onabotulinumtoxina, 1 unit | 57% | 1,877 | 1,827 | $761K |
| J0475 | Injection, baclofen, 10 mg | 35% | 1,419 | 1,405 | $464K |
| 64642 | 2.6% | 1,312 | 1,282 | $35K | |
| 95874 | 2.5% | 3,359 | 2,972 | $34K | |
| 62369 | 1.5% | 903 | 888 | $21K | |
| 64644 | 1.3% | 593 | 584 | $18K | |
| 64643 | <1% | 281 | 280 | $5K | |
| 62370 | <1% | 104 | 101 | $2K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 12 | 12 | $477.92 |
| 76942 | <1% | 52 | 52 | $403.17 |
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 officialKOELBEL, STEPHEN (OWNER)