Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › FAIRHAVEN › SOUTHCOAST PHYSICIANS GROUP, INC.

SOUTHCOAST PHYSICIANS GROUP, INC.

NPI: 1336137629 · FAIRHAVEN, MA 02719 · Internal Medicine Physician · NPI assigned 10/11/2005

$49.73M
Total Medicaid Paid
1,525,993
Total Claims
1,350,604
Beneficiaries
304
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROSE, MELISSA (SHS VICE PRESIDENT OF CONTRACTING)
NPI Enumeration Date10/11/2005

Related Entities

Other providers sharing the same authorized official: ROSE, MELISSA

ProviderCityStateTotal Paid
PLAY TIME PHYSICAL THERAPY CHESAPEAKE VA $101K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 210,036 $7.80M
2019 215,517 $7.52M
2020 199,684 $7.39M
2021 203,338 $6.94M
2022 213,565 $7.58M
2023 254,557 $7.02M
2024 229,296 $5.47M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 371,285 356,582 $15.92M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 273,190 261,793 $9.27M
99232 Subsequent hospital care, per day, moderate complexity 120,613 56,656 $2.95M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 25,188 25,049 $2.22M
99233 Prolong inpt eval add15 m 52,562 28,214 $1.88M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 26,315 26,170 $1.59M
99223 Prolong inpt eval add15 m 21,058 20,681 $1.57M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 14,828 6,599 $1.24M
99239 Hospital discharge day management, more than 30 minutes 30,702 29,692 $1.17M
99222 Initial hospital care, per day, moderate complexity 17,037 16,730 $878K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 19,740 19,339 $824K
90460 Immunization administration through 18 years of age via any route, first or only component 16,837 16,739 $453K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6,922 6,921 $390K
99215 Prolong outpt/office vis 6,765 6,166 $350K
95886 4,274 3,743 $350K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,926 5,923 $341K
93000 45,598 44,054 $318K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 14,135 7,187 $301K
90791 Psychiatric diagnostic evaluation 2,711 2,537 $264K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,720 4,676 $246K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 4,427 4,389 $237K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 2,607 2,578 $234K
96110 Developmental screening, with scoring and documentation, per standardized instrument 22,152 21,440 $228K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 25,832 25,760 $224K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 3,282 2,413 $223K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 54,351 43,684 $210K
95913 1,397 1,227 $202K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 8,957 8,613 $195K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 3,435 2,923 $185K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,805 2,802 $179K
76830 Ultrasound, transvaginal 2,604 2,072 $172K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2,043 2,023 $162K
20610 6,222 5,725 $161K
99309 Subsequent nursing facility care, per day, low to moderate complexity 11,194 7,060 $145K
99220 1,787 1,771 $136K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,885 1,879 $134K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 11,439 11,306 $128K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 8,505 8,272 $126K
90837 Psychotherapy, 53 minutes with patient 923 725 $110K
99308 Subsequent nursing facility care, per day, straightforward 10,746 6,963 $105K
99205 Prolong outpt/office vis 1,073 1,069 $104K
64483 1,719 1,705 $100K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1,664 620 $95K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,765 1,196 $95K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 43 43 $93K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 616 615 $88K
99219 1,513 1,504 $84K
90961 1,143 1,134 $82K
99188 3,096 3,096 $81K
92557 2,746 2,734 $79K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 158 158 $78K
99490 Ccm add 20min 16,522 16,403 $74K
S3005 Performance measurement, evaluation of patient self assessment, depression 7,542 6,408 $73K
29848 272 265 $72K
31575 1,344 1,334 $72K
97803 1,590 1,532 $68K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,328 775 $67K
69210 3,338 3,282 $66K
59025 Fetal non-stress test 1,703 962 $63K
92567 4,434 4,402 $62K
77427 815 407 $62K
45380 Colonoscopy, flexible; with biopsy, single or multiple 804 797 $62K
90682 1,690 1,674 $59K
87428 1,115 1,103 $56K
73564 3,115 2,382 $52K
94060 2,980 2,769 $51K
99231 Subsequent hospital care, per day, straightforward or low complexity 3,224 2,051 $48K
64615 747 739 $46K
31579 508 501 $46K
99442 6,806 6,507 $42K
95910 483 438 $41K
95911 338 297 $40K
99443 3,927 3,799 $40K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 933 929 $40K
99221 1,001 989 $38K
81002 21,024 20,436 $38K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 334 333 $36K
99284 Emergency department visit for the evaluation and management, high severity 384 383 $34K
99217 1,230 1,205 $33K
90834 Psychotherapy, 45 minutes with patient 413 372 $33K
73130 1,953 1,535 $32K
73110 1,717 1,391 $31K
99292 513 360 $29K
73030 2,297 2,018 $28K
90792 Psychiatric diagnostic evaluation with medical services 296 289 $28K
20611 573 548 $26K
73610 1,449 1,352 $24K
93970 278 254 $22K
94729 1,715 1,602 $21K
73630 1,410 1,275 $21K
95816 1,014 978 $21K
90832 Psychotherapy, 30 minutes with patient 418 364 $20K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,228 404 $20K
73562 1,105 846 $19K
83036 Hemoglobin; glycosylated (A1C) 5,308 5,225 $19K
99310 Prolong nursin fac eval 15m 447 194 $19K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 235 166 $18K
64635 135 135 $18K
81025 2,991 2,925 $18K
90674 1,020 1,008 $18K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 6,530 6,404 $18K
71046 Radiologic examination, chest; 2 views 1,715 1,693 $18K
93296 2,160 2,096 $18K
36415 Collection of venous blood by venipuncture 9,075 8,628 $18K
31231 138 137 $17K
73140 928 782 $17K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 1,090 1,067 $16K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,486 1,468 $16K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 3,155 3,087 $16K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 151 149 $15K
76801 228 147 $15K
99349 456 438 $15K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 264 264 $15K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 456 456 $14K
52000 152 152 $14K
97802 200 200 $14K
90677 891 882 $14K
93971 247 208 $14K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 190 190 $14K
77014 788 176 $13K
94726 808 722 $13K
90686 2,312 2,299 $13K
29075 237 209 $12K
99238 Hospital discharge day management, 30 minutes or less 442 432 $12K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 99 84 $12K
99439 2,060 2,034 $12K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 636 635 $10K
J0585 Injection, onabotulinumtoxina, 1 unit 213 174 $10K
97597 1,239 791 $10K
64493 254 246 $10K
99441 2,338 2,282 $10K
11045 561 314 $10K
95912 80 69 $9K
20550 351 285 $9K
96127 1,582 1,572 $9K
00731 260 235 $9K
99407 269 263 $9K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 665 612 $8K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 659 657 $8K
51798 1,305 1,293 $8K
93016 767 763 $8K
85018 3,465 3,464 $7K
62323 264 236 $7K
90715 212 212 $7K
73502 423 413 $7K
92015 Determination of refractive state 529 529 $7K
27447 12 12 $6K
20552 273 260 $6K
93793 1,547 1,076 $6K
99497 324 302 $6K
76818 90 51 $6K
99282 Emergency department visit for the evaluation and management, low to moderate severity 180 180 $6K
62321 159 158 $6K
62370 707 696 $6K
90480 121 121 $6K
64494 263 219 $5K
3078F 22,031 21,256 $5K
90661 557 545 $5K
64636 157 135 $5K
93018 766 762 $5K
J1030 Injection, methylprednisolone acetate, 40 mg 1,545 1,499 $5K
J2315 Injection, naltrexone, depot form, 1 mg 118 108 $4K
95251 391 384 $4K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 26 26 $4K
17250 221 141 $4K
77334 82 73 $4K
92511 67 67 $4K
11100 67 65 $4K
99385 38 38 $3K
0002A 83 83 $3K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 2,796 2,784 $3K
93880 66 63 $3K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 63 63 $3K
64484 105 105 $3K
93922 98 91 $3K
90839 50 49 $3K
93294 324 317 $3K
93458 25 24 $3K
3074F 19,462 18,919 $3K
64490 42 42 $3K
93923 62 53 $2K
93298 183 178 $2K
93227 162 160 $2K
92551 278 277 $2K
0001A 57 57 $2K
92552 147 144 $2K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 12 12 $2K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 323 312 $2K
90662 466 385 $2K
17110 28 27 $2K
0054A 66 66 $2K
77067 Screening mammography, bilateral, including computer-aided detection 42 42 $2K
99306 Prolong nursin fac eval 15m 50 48 $2K
90694 134 130 $2K
00811 46 43 $2K
90935 Hemodialysis procedure with single evaluation by a physician 71 41 $2K
99348 74 73 $2K
46600 25 25 $2K
93925 25 25 $2K
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass 147 131 $2K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 152 53 $1K
93295 94 93 $1K
64491 41 41 $1K
92556 76 74 $1K
77263 24 24 $1K
87807 132 129 $1K
99406 219 194 $1K
64450 46 42 $1K
90678 29 29 $1K
G0008 Administration of influenza virus vaccine 1,507 1,466 $1K
82962 1,368 1,346 $1K
96380 69 69 $1K
90785 243 238 $1K
93299 68 63 $1K
10005 13 13 $1K
80061 Lipid panel 89 89 $1K
99345 Prolong home eval add 15m 12 12 $957.72
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 30 30 $928.50
G6002 Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy 177 38 $855.90
95909 13 13 $854.73
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). 91 91 $841.12
87400 76 41 $795.02
94727 117 117 $756.66
31500 14 14 $754.38
93224 14 14 $750.68
73560 55 52 $746.88
43235 13 12 $731.10
99173 171 171 $697.68
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 214 178 $644.20
93225 39 39 $619.71
01810 13 13 $596.02
88305 Level IV - Surgical pathology, gross and microscopic examination 15 13 $568.35
99226 20 12 $567.55
99305 38 38 $538.26
99225 50 25 $514.86
64492 24 24 $501.69
99459 30 30 $491.13
91035 13 13 $455.42
91010 12 12 $365.26
73080 28 25 $357.75
90461 33 33 $352.67
92579 12 12 $345.92
J1010 Injection, methylprednisolone acetate, 1 mg 132 126 $326.65
0064A 16 16 $321.14
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 41 40 $312.64
99050 42 42 $291.44
3077F 1,384 1,319 $285.90
84165 29 28 $279.85
77063 Screening digital breast tomosynthesis, bilateral 12 12 $259.75
91200 12 12 $220.34
92553 13 12 $219.72
99307 42 26 $203.03
76937 41 38 $202.13
99051 12 12 $196.24
95819 13 13 $191.89
77080 32 32 $188.80
3079F 2,776 2,728 $176.32
20551 14 12 $168.73
G0444 Annual depression screening, 5 to 15 minutes 147 143 $156.43
90732 17 17 $147.04
90472 Immunization administration, each additional vaccine (list separately) 41 41 $135.36
86334 15 15 $135.27
G0136 Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months 19 19 $132.57
93297 12 12 $125.68
99487 Ccm add 20min 12 12 $116.71
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 136 107 $104.70
64495 37 37 $99.29
80305 13 13 $98.12
94010 13 13 $84.37
90653 26 26 $83.49
3075F 917 892 $59.79
85610 26 24 $48.37
93325 27 27 $38.92
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 17 15 $32.83
81003 12 12 $25.01
99457 161 161 $20.88
99454 225 224 $20.62
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 12 12 $19.38
99458 71 71 $8.33
96160 176 176 $6.42
1036F 3,572 3,370 $0.00
3044F 67 67 $0.00
90656 890 881 $0.00
90697 577 568 $0.00
90680 650 641 $0.00
90716 38 38 $0.00
90651 114 112 $0.00
90619 27 27 $0.00
91305 35 33 $0.00
90660 15 15 $0.00
90723 142 141 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 13 13 $0.00
3080F 12 12 $0.00
G0009 Administration of pneumococcal vaccine 12 12 $0.00
90381 65 61 $0.00
90698 12 12 $0.00
90685 217 217 $0.00
90670 333 332 $0.00
90734 26 26 $0.00
90633 387 384 $0.00
99453 49 48 $0.00
90648 290 289 $0.00
90707 36 36 $0.00
90671 12 12 $0.00