Southboro Medical Group, INC.

Southboro Medical Group, INC. was paid $71K by Medicaid between Jan 2018 and Feb 2018, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.

33Billing provider infoSOUTHBORO MEDICAL GROUP, INC.
SOUTHBOROUGH, MA 01772

33aNPI1568473635assigned 08/11/2006

33bProvider typeSocial Worker

28Total paid$71K

24GClaims1,602

24DCodes billed13

24AFirst – last monthJan 2018 – Feb 2018

Compared with peers

Next to other Social Worker providers in Massachusetts

Rank by total paid#44 of 108

Median peer was paid$34K

This provider vs. median2.1×

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	1,602	$71K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	37%	304	296	$26K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	26%	315	304	$19K
90460	Immunization administration through 18 years of age via any route, first or only component	12%	267	258	$9K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	7.4%	61	61	$5K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	6.0%	49	49	$4K
99173		4.8%	139	139	$3K
96110	Developmental screening, with scoring and documentation, per standardized instrument	3.6%	237	237	$3K
90461		<1%	12	12	$523.42
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	40	40	$519.60
80061	Lipid panel	<1%	26	26	$394.94
83655		<1%	16	16	$219.84
85018		<1%	13	13	$34.84

1 more codes

90686

<1%

123

$30.76

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 officialOSTROVSKY, MARVIN (PRESIDENT)