Physician
South Shore Primary Care PC
South Shore Primary Care PC was paid $312K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 53% of everything it billed.
33Billing provider infoSOUTH SHORE PRIMARY CARE PC
HINGHAM, MA 02043
HINGHAM, MA 02043
33aNPI1356308712assigned 04/28/2006
33bProvider typeInternal Medicine Physician
28Total paid$312K
24GClaims12,112
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Massachusetts
Rank by total paid#114 of 1,270
Median peer was paid$8K
This provider vs. median37×
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 | 2,367 | $52K | |
| 2019 | 2,362 | $52K | |
| 2020 | 1,974 | $47K | |
| 2021 | 1,677 | $49K | |
| 2022 | 1,494 | $46K | |
| 2023 | 1,292 | $40K | |
| 2024incomplete | 946 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 53% | 2,133 | 2,080 | $166K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 25% | 4,290 | 3,345 | $78K |
| 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 | 12% | 572 | 520 | $38K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 3.4% | 2,000 | 1,449 | $11K |
| 36410 | 3.0% | 1,613 | 1,593 | $9K | |
| 93000 | 1.2% | 435 | 427 | $4K | |
| 90686 | <1% | 222 | 217 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 115 | 115 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 77 | 76 | $1K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 34 | 16 | $580.49 |
| G0008 | Administration of influenza virus vaccine | <1% | 16 | 16 | $11.25 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 536 | 500 | $0.00 |
1 more codes
| G8482 | Influenza immunization administered or previously received | 0% | 69 | $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 officialSOONDAN, RAVINDER (PRESIDENT)