Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MA › Fairhaven › NPI 1336137629
Physician

Southcoast Physicians Group, INC.

Southcoast Physicians Group, INC. was paid $49.73M by Medicaid between Jan 2018 and Dec 2024, across 304 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.

33Billing provider infoSOUTHCOAST PHYSICIANS GROUP, INC.
FAIRHAVEN, MA 02719
33aNPI1336137629assigned 10/11/2005
28Total paid$49.73M
24GClaims1,525,993
24DCodes billed304
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in Massachusetts

Rank by total paid#3 of 1,270
Median peer was paid$8K
This provider vs. median5,948×

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

$0$500K$1.0M$1.5M2018201920202021202220232024
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
YearClaimsPaid
2018210,036$7.80M
2019215,517$7.52M
2020199,684$7.39M
2021203,338$6.94M
2022213,565$7.58M
2023254,557$7.02M
2024incomplete229,296$5.47M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 32% 371,285 356,582 $15.92M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19% 273,190 261,793 $9.27M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 5.9% 120,613 56,656 $2.95M
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 4.5% 25,188 25,049 $2.22M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 3.8% 52,562 28,214 $1.88M
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.2% 26,315 26,170 $1.59M
99223 Prolong inpt eval add15 m 3.2% 21,058 20,681 $1.57M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2.5% 14,828 6,599 $1.24M
99239 Hospital discharge day management, more than 30 minutes 2.3% 30,702 29,692 $1.17M
99222 Initial hospital care, per day, moderate complexity 1.8% 17,037 16,730 $878K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.7% 19,740 19,339 $824K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 16,837 16,739 $453K
292 more codes
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 6,922 $390K
99215 Doctor's office visit, returning patient (complex) <1% 6,765 $350K
95886 <1% 4,274 $350K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 5,926 $341K
93000 <1% 45,598 $318K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 14,135 $301K
90791 Psychiatric diagnostic evaluation <1% 2,711 $264K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 4,720 $246K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 4,427 $237K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 2,607 $234K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 22,152 $228K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) <1% 25,832 $224K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 3,282 $223K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 54,351 $210K
95913 <1% 1,397 $202K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 8,957 $195K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 3,435 $185K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 2,805 $179K
76830 Ultrasound, transvaginal <1% 2,604 $172K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 2,043 $162K
20610 <1% 6,222 $161K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 11,194 $145K
99220 <1% 1,787 $136K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 1,885 $134K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 11,439 $128K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 8,505 $126K
90837 Psychotherapy session, about an hour <1% 923 $110K
99308 Subsequent nursing facility care, per day, straightforward <1% 10,746 $105K
99205 Prolong outpt/office vis <1% 1,073 $104K
64483 <1% 1,719 $100K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 1,664 $95K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 1,765 $95K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care <1% 43 $93K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 616 $88K
99219 <1% 1,513 $84K
90961 <1% 1,143 $82K
99188 <1% 3,096 $81K
92557 <1% 2,746 $79K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery <1% 158 $78K
99490 Ccm add 20min <1% 16,522 $74K
S3005 Performance measurement, evaluation of patient self assessment, depression <1% 7,542 $73K
29848 <1% 272 $72K
31575 <1% 1,344 $72K
97803 <1% 1,590 $68K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 1,328 $67K
69210 <1% 3,338 $66K
59025 Fetal non-stress test <1% 1,703 $63K
92567 <1% 4,434 $62K
77427 <1% 815 $62K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 804 $62K
90682 <1% 1,690 $59K
87428 <1% 1,115 $56K
73564 <1% 3,115 $52K
94060 <1% 2,980 $51K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 3,224 $48K
64615 <1% 747 $46K
31579 <1% 508 $46K
99442 <1% 6,806 $42K
95910 <1% 483 $41K
95911 <1% 338 $40K
99443 <1% 3,927 $40K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 933 $40K
99221 <1% 1,001 $38K
81002 <1% 21,024 $38K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 334 $36K
99284 Emergency room visit (serious) <1% 384 $34K
99217 <1% 1,230 $33K
90834 Psychotherapy session, about 45 minutes <1% 413 $33K
73130 <1% 1,953 $32K
73110 <1% 1,717 $31K
99292 <1% 513 $29K
73030 <1% 2,297 $28K
90792 Psychiatric diagnostic evaluation with medical services <1% 296 $28K
20611 <1% 573 $26K
73610 <1% 1,449 $24K
93970 <1% 278 $22K
94729 <1% 1,715 $21K
73630 <1% 1,410 $21K
95816 <1% 1,014 $21K
90832 Psychotherapy session, about 30 minutes <1% 418 $20K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 1,228 $20K
73562 <1% 1,105 $19K
83036 Hemoglobin; glycosylated (A1C) <1% 5,308 $19K
99310 Prolong nursin fac eval 15m <1% 447 $19K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 235 $18K
64635 <1% 135 $18K
81025 <1% 2,991 $18K
90674 <1% 1,020 $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) <1% 6,530 $18K
71046 Radiologic examination, chest; 2 views <1% 1,715 $18K
93296 <1% 2,160 $18K
36415 Collection of venous blood by venipuncture <1% 9,075 $18K
31231 <1% 138 $17K
73140 <1% 928 $17K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 1,090 $16K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,486 $16K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 3,155 $16K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 151 $15K
76801 <1% 228 $15K
99349 <1% 456 $15K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 264 $15K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 456 $14K
52000 <1% 152 $14K
97802 <1% 200 $14K
90677 <1% 891 $14K
93971 <1% 247 $14K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 190 $14K
77014 <1% 788 $13K
94726 <1% 808 $13K
90686 <1% 2,312 $13K
29075 <1% 237 $12K
99238 Hospital discharge day management, 30 minutes or less <1% 442 $12K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 99 $12K
99439 <1% 2,060 $12K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 636 $10K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 213 $10K
97597 <1% 1,239 $10K
64493 <1% 254 $10K
99441 <1% 2,338 $10K
11045 <1% 561 $10K
95912 <1% 80 $9K
20550 <1% 351 $9K
96127 <1% 1,582 $9K
00731 <1% 260 $9K
99407 <1% 269 $9K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 665 $8K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination <1% 659 $8K
51798 <1% 1,305 $8K
93016 <1% 767 $8K
85018 <1% 3,465 $7K
62323 <1% 264 $7K
90715 <1% 212 $7K
73502 <1% 423 $7K
92015 Determination of refractive state <1% 529 $7K
27447 <1% 12 $6K
20552 <1% 273 $6K
93793 <1% 1,547 $6K
99497 <1% 324 $6K
76818 <1% 90 $6K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 180 $6K
62321 <1% 159 $6K
62370 <1% 707 $6K
90480 <1% 121 $6K
64494 <1% 263 $5K
3078F <1% 22,031 $5K
90661 <1% 557 $5K
64636 <1% 157 $5K
93018 <1% 766 $5K
J1030 Injection, methylprednisolone acetate, 40 mg <1% 1,545 $5K
J2315 Injection, naltrexone, depot form, 1 mg <1% 118 $4K
95251 <1% 391 $4K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 26 $4K
17250 <1% 221 $4K
77334 <1% 82 $4K
92511 <1% 67 $4K
11100 <1% 67 $4K
99385 <1% 38 $3K
0002A <1% 83 $3K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 2,796 $3K
93880 <1% 66 $3K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 63 $3K
64484 <1% 105 $3K
93922 <1% 98 $3K
90839 <1% 50 $3K
93294 <1% 324 $3K
93458 <1% 25 $3K
3074F <1% 19,462 $3K
64490 <1% 42 $3K
93923 <1% 62 $2K
93298 <1% 183 $2K
93227 <1% 162 $2K
92551 <1% 278 $2K
0001A <1% 57 $2K
92552 <1% 147 $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 <1% 12 $2K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 323 $2K
90662 <1% 466 $2K
17110 <1% 28 $2K
0054A <1% 66 $2K
77067 Screening mammography, bilateral, including computer-aided detection <1% 42 $2K
99306 Prolong nursin fac eval 15m <1% 50 $2K
90694 <1% 134 $2K
00811 <1% 46 $2K
90935 Hemodialysis procedure with single evaluation by a physician <1% 71 $2K
99348 <1% 74 $2K
46600 <1% 25 $2K
93925 <1% 25 $2K
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass <1% 147 $2K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 152 $1K
93295 <1% 94 $1K
64491 <1% 41 $1K
92556 <1% 76 $1K
77263 <1% 24 $1K
87807 <1% 132 $1K
99406 <1% 219 $1K
64450 <1% 46 $1K
90678 <1% 29 $1K
G0008 Administration of influenza virus vaccine <1% 1,507 $1K
82962 <1% 1,368 $1K
96380 <1% 69 $1K
90785 <1% 243 $1K
93299 <1% 68 $1K
10005 <1% 13 $1K
80061 Lipid panel <1% 89 $1K
99345 Prolong home eval add 15m <1% 12 $957.72
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 30 $928.50
G6002 Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy <1% 177 $855.90
95909 <1% 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)). <1% 91 $841.12
87400 <1% 76 $795.02
94727 <1% 117 $756.66
31500 <1% 14 $754.38
93224 <1% 14 $750.68
73560 <1% 55 $746.88
43235 <1% 13 $731.10
99173 <1% 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 <1% 214 $644.20
93225 <1% 39 $619.71
01810 <1% 13 $596.02
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 15 $568.35
99226 <1% 20 $567.55
99305 <1% 38 $538.26
99225 <1% 50 $514.86
64492 <1% 24 $501.69
99459 <1% 30 $491.13
91035 <1% 13 $455.42
91010 <1% 12 $365.26
73080 <1% 28 $357.75
90461 <1% 33 $352.67
92579 <1% 12 $345.92
J1010 Injection, methylprednisolone acetate, 1 mg <1% 132 $326.65
0064A <1% 16 $321.14
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 41 $312.64
99050 <1% 42 $291.44
3077F <1% 1,384 $285.90
84165 <1% 29 $279.85
77063 Screening digital breast tomosynthesis, bilateral <1% 12 $259.75
91200 <1% 12 $220.34
92553 <1% 13 $219.72
99307 <1% 42 $203.03
76937 <1% 41 $202.13
99051 <1% 12 $196.24
95819 <1% 13 $191.89
77080 <1% 32 $188.80
3079F <1% 2,776 $176.32
20551 <1% 14 $168.73
G0444 Annual depression screening, 5 to 15 minutes <1% 147 $156.43
90732 <1% 17 $147.04
90472 Immunization administration, each additional vaccine (list separately) <1% 41 $135.36
86334 <1% 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 <1% 19 $132.57
93297 <1% 12 $125.68
99487 Ccm add 20min <1% 12 $116.71
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 136 $104.70
64495 <1% 37 $99.29
80305 <1% 13 $98.12
94010 <1% 13 $84.37
90653 <1% 26 $83.49
3075F <1% 917 $59.79
85610 <1% 26 $48.37
93325 <1% 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) <1% 17 $32.83
81003 <1% 12 $25.01
99457 <1% 161 $20.88
99454 <1% 225 $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) <1% 12 $19.38
99458 <1% 71 $8.33
96160 <1% 176 $6.42
1036F 0% 3,572 $0.00
3044F 0% 67 $0.00
90656 0% 890 $0.00
90697 0% 577 $0.00
90680 0% 650 $0.00
90716 0% 38 $0.00
90651 0% 114 $0.00
90619 0% 27 $0.00
91305 0% 35 $0.00
90660 0% 15 $0.00
90723 0% 142 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 13 $0.00
3080F 0% 12 $0.00
G0009 Administration of pneumococcal vaccine 0% 12 $0.00
90381 0% 65 $0.00
90698 0% 12 $0.00
90685 0% 217 $0.00
90670 0% 333 $0.00
90734 0% 26 $0.00
90633 0% 387 $0.00
99453 0% 49 $0.00
90648 0% 290 $0.00
90707 0% 36 $0.00
90671 0% 12 $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 officialROSE, MELISSA (SHS VICE PRESIDENT OF CONTRACTING)
Same official

Other billing entities under ROSE, MELISSA

Full network →
ProviderLocationPaid
Play Time Physical TherapyChesapeake, VA$101K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.