South Shore Hospital INC.

South Shore Hospital INC. was paid $7.88M by Medicaid between Jan 2018 and Dec 2024, across 83 billing codes. Its largest line is G0299, Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes — 58% of everything it billed.

33Billing provider infoSOUTH SHORE HOSPITAL INC.
BRAINTREE, MA 02184

33aNPI1669558474assigned 10/27/2006

33bProvider typeHome Health Agency

28Total paid$7.88M

24GClaims120,421

24DCodes billed83

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Home Health Agency providers in Massachusetts

Rank by total paid#93 of 299

Median peer was paid$2.39M

This provider vs. median3.3×

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	13,117	$632K
2019	24,932	$1.76M
2020	25,973	$1.66M
2021	18,995	$1.19M
2022	16,535	$1.29M
2023	13,129	$857K
2024incomplete	7,740	$484K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G0299	Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes	58%	59,094	15,317	$4.58M
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	15%	20,133	5,660	$1.22M
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	5.8%	7,337	2,451	$457K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	4.6%	1,535	1,477	$362K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	2.9%	937	907	$229K
96361	Intravenous infusion, hydration; each additional hour	2.2%	529	488	$176K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	1.8%	592	578	$138K
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	1.6%	7,600	2,247	$129K
92507	Treatment of speech, language, voice, communication, and/or auditory processing disorder	1.5%	559	180	$115K
S9131	Physical therapy; in the home, per diem	1.0%	4,713	1,318	$81K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	337	334	$73K
G0300	Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes	<1%	1,128	615	$67K

71 more codes

99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	133	$30K
96360	Intravenous infusion, hydration; initial, 31 minutes to 1 hour	<1%	204	$22K
A0429	Emergency ambulance ride, basic life support	<1%	75	$18K
59025	Fetal non-stress test	<1%	70	$17K
97530	Therapeutic activities, direct patient contact, each 15 minutes	<1%	133	$17K
74177	Computed tomography, abdomen and pelvis; with contrast material	<1%	109	$17K
70450	Computed tomography, head or brain; without contrast material	<1%	143	$16K
S9129	Occupational therapy, in the home, per diem	<1%	1,085	$12K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	<1%	424	$12K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed	<1%	311	$12K
80053	Comprehensive metabolic panel	<1%	1,197	$8K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	1,417	$7K
76705	Ultrasound, abdominal, real time with image documentation; limited	<1%	71	$7K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	<1%	228	$6K
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	<1%	613	$6K
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	<1%	34	$6K
A0427	Emergency ambulance ride, advanced life support	<1%	12	$5K
71046	Radiologic examination, chest; 2 views	<1%	474	$5K
J3490	Unclassified drugs	<1%	81	$4K
A0425	Ground mileage, per statute mile	<1%	230	$4K
84484		<1%	313	$3K
99281	Emergency department visit for the evaluation and management, self-limited or minor	<1%	12	$2K
84702		<1%	199	$2K
80048	Basic metabolic panel (calcium, ionized)	<1%	270	$2K
81025		<1%	363	$2K
83690		<1%	356	$2K
87086	Culture, bacterial; quantitative colony count, urine	<1%	213	$1K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	<1%	61	$898.27
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	27	$732.34
81001		<1%	350	$725.78
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	<1%	662	$690.22
83735		<1%	130	$612.28
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	109	$592.27
85027		<1%	120	$561.54
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	200	$482.50
81003		<1%	303	$449.31
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	<1%	37	$448.14
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	<1%	37	$448.14
85610		<1%	167	$447.22
86141		<1%	45	$427.24
86850		<1%	72	$423.24
85379		<1%	50	$374.54
J7120	Ringers lactate infusion, up to 1000 cc	<1%	212	$368.57
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	<1%	513	$324.66
87070		<1%	49	$272.85
87081		<1%	96	$266.84
J2405	Injection, ondansetron hydrochloride, per 1 mg	<1%	436	$237.84
87040		<1%	25	$236.92
J7030	Infusion, normal saline solution , 1000 cc	<1%	807	$209.36
86901		<1%	84	$188.63
86900		<1%	84	$188.63
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	176	$184.06
96375	Therapeutic injection; each additional sequential IV push	<1%	294	$182.60
J3010	Injection, fentanyl citrate, 0.1 mg	<1%	102	$168.75
96376		<1%	32	$155.00
J2060	Injection, lorazepam, 2 mg	<1%	35	$135.44
87205		<1%	37	$125.36
85652		<1%	56	$114.06
71045	Radiologic examination, chest; single view	<1%	59	$113.47
J2250	Injection, midazolam hydrochloride, per 1 mg	<1%	81	$100.87
74019		<1%	12	$77.77
85007		<1%	35	$71.99
J2704	Injection, propofol, 10 mg	<1%	67	$63.31
Q0162	Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen	<1%	181	$59.87
83605		<1%	14	$58.50
87420		<1%	17	$32.82
82962		<1%	121	$31.56
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	360	$25.48
J2270	Injection, morphine sulfate, up to 10 mg	<1%	101	$4.04
1111F		0%	689	$0.00
J0696	Injection, ceftriaxone sodium, per 250 mg	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 officialPASCARELLI, RICHARD (FINANCE MANAGER)

Parent organizationSOUTH SHORE HOSPITAL INC.