South Shore Medical Center, INC.

South Shore Medical Center, INC. was paid $2.44M by Medicaid between Jan 2018 and Dec 2024, across 67 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.

33Billing provider infoSOUTH SHORE MEDICAL CENTER, INC.
NORWELL, MA 02061

33aNPI1669411856assigned 06/05/2006

33bProvider typeAllergy & Immunology Physician

28Total paid$2.44M

24GClaims76,272

24DCodes billed67

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Allergy & Immunology Physician providers in Massachusetts

Rank by total paid#3 of 37

Median peer was paid$30K

This provider vs. median83×

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	6,746	$299K
2019	8,486	$334K
2020	9,270	$308K
2021	11,268	$418K
2022	16,397	$615K
2023	14,335	$287K
2024incomplete	9,770	$182K

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	42%	21,707	20,867	$1.02M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	33%	23,797	23,011	$814K
90460	Immunization administration through 18 years of age via any route, first or only component	7.6%	6,140	6,081	$186K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	3.7%	1,386	1,385	$90K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	3.1%	3,347	3,194	$77K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	1.1%	665	619	$27K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.0%	2,074	2,040	$25K
76819	Fetal biophysical profile; without non-stress testing	<1%	729	594	$23K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	261	245	$19K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	370	370	$18K
99051		<1%	1,208	1,195	$17K
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	<1%	140	140	$13K

55 more codes

87400		<1%	1,163	$13K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	1,360	$12K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	153	$9K
20553		<1%	275	$9K
99223	Prolong inpt eval add15 m	<1%	128	$9K
36415	Collection of venous blood by venipuncture	<1%	3,972	$7K
76811	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed	<1%	86	$6K
87081		<1%	1,055	$6K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	67	$5K
11042	Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm	<1%	258	$5K
99173		<1%	225	$4K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	270	$3K
80053	Comprehensive metabolic panel	<1%	442	$3K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	652	$3K
77067	Screening mammography, bilateral, including computer-aided detection	<1%	51	$3K
99232	Hospital visit by a doctor, follow-up day	<1%	64	$3K
90686		<1%	194	$2K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	<1%	56	$2K
98966		<1%	240	$2K
76813		<1%	38	$2K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	<1%	97	$1K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	242	$1K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	12	$1K
G0108	Diabetes outpatient self-management training services, individual, per 30 minutes	<1%	38	$877.20
81002		<1%	725	$809.26
17110		<1%	13	$781.27
20610		<1%	32	$724.21
99238	Hospital discharge day management, 30 minutes or less	<1%	12	$572.88
95251		<1%	38	$535.23
77063	Screening digital breast tomosynthesis, bilateral	<1%	51	$511.61
76820		<1%	25	$452.46
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	84	$452.40
80048	Basic metabolic panel (calcium, ionized)	<1%	70	$438.39
93000		<1%	74	$398.37
80061	Lipid panel	<1%	104	$370.75
ATP14		<1%	369	$364.04
ATP08		<1%	414	$299.27
95806		<1%	13	$286.71
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	<1%	13	$259.30
97597		<1%	22	$233.55
94060		<1%	14	$205.69
71046	Radiologic examination, chest; 2 views	<1%	13	$193.41
99215	Doctor's office visit, returning patient (complex)	<1%	13	$131.98
51798		<1%	24	$126.53
83036	Hemoglobin; glycosylated (A1C)	<1%	13	$112.47
90653		<1%	29	$79.38
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	830	$74.98
81001		<1%	38	$67.88
85027		<1%	14	$54.94
ATP11		<1%	45	$27.33
ATP17		<1%	58	$21.47
99000		<1%	16	$19.00
ATP05		<1%	54	$16.12
96127		<1%	29	$2.47
90656		0%	61	$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 officialVALANZOLA, JACLYN (SUPERVISOR)