Physician
Healthcare South PC
Healthcare South PC was paid $1.94M by Medicaid between Jan 2018 and Nov 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 67% of everything it billed.
33Billing provider infoHEALTHCARE SOUTH PC
ROCKLAND, MA 02370
ROCKLAND, MA 02370
33aNPI1396726006assigned 11/09/2005
33bProvider typeFamily Medicine Physician
28Total paid$1.94M
24GClaims54,115
24DCodes billed32
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Massachusetts
Rank by total paid#10 of 744
Median peer was paid$10K
This provider vs. median186×
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 | 10,530 | $362K | |
| 2019 | 9,548 | $335K | |
| 2020 | 7,358 | $191K | |
| 2021 | 8,074 | $299K | |
| 2022 | 8,258 | $333K | |
| 2023 | 6,535 | $253K | |
| 2024incomplete | 3,812 | $170K |
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 | 67% | 21,574 | 20,401 | $1.30M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.0% | 5,564 | 5,417 | $156K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 5.5% | 2,171 | 2,087 | $107K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 5.0% | 10,192 | 10,138 | $97K |
| 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 | 5.0% | 1,302 | 1,195 | $96K |
| 99173 | 2.7% | 2,557 | 2,461 | $52K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.2% | 763 | 748 | $23K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 232 | 230 | $19K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 199 | 199 | $18K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 174 | 174 | $17K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 979 | 950 | $10K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 92 | 92 | $8K |
20 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 198 | $8K |
| 90461 | <1% | 624 | $6K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 477 | $5K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 53 | $5K |
| 94760 | <1% | 2,200 | $4K | |
| 87081 | <1% | 657 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 180 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 55 | $2K |
| 81002 | <1% | 514 | $1K | |
| 90686 | <1% | 2,589 | $396.07 | |
| 92551 | <1% | 39 | $371.28 | |
| 99442 | <1% | 14 | $296.10 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 26 | $293.52 |
| 96127 | <1% | 35 | $126.66 | |
| 85018 | <1% | 12 | $24.32 | |
| 90661 | 0% | 12 | $0.00 | |
| 90633 | 0% | 15 | $0.00 | |
| 99000 | 0% | 271 | $0.00 | |
| 88738 | 0% | 329 | $0.00 | |
| 91307 | 0% | 16 | $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 officialSPEDDEN, PATRICIA (PRACTICE MANAGER)