Physician
Appledore Medical Group, INC
Appledore Medical Group, INC was paid $1.41M by Medicaid between Jan 2018 and Dec 2024, across 58 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
33Billing provider infoAPPLEDORE MEDICAL GROUP, INC
PORTSMOUTH, NH 03801
PORTSMOUTH, NH 03801
33aNPI1720077167assigned 10/18/2005
33bProvider typeFamily Medicine Physician
28Total paid$1.41M
24GClaims57,856
24DCodes billed58
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in New Hampshire
Rank by total paid#6 of 65
Median peer was paid$17K
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official BERGAMO, SUZANNE controls 19+ related entities in our dataset. Read more
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 | 136 | $3K | |
| 2019 | 928 | $19K | |
| 2020 | 8,225 | $185K | |
| 2021 | 9,744 | $236K | |
| 2022 | 16,670 | $406K | |
| 2023 | 12,535 | $314K | |
| 2024incomplete | 9,618 | $251K |
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 | 36% | 11,752 | 9,823 | $514K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 10,287 | 9,171 | $360K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 9.8% | 9,339 | 2,261 | $139K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.5% | 1,696 | 1,631 | $106K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.4% | 1,505 | 1,366 | $91K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.2% | 530 | 480 | $31K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.5% | 5,866 | 4,203 | $22K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 343 | 328 | $20K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.0% | 2,279 | 2,109 | $14K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 506 | 465 | $14K |
| 99223 | Prolong inpt eval add15 m | <1% | 213 | 178 | $12K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,441 | 2,251 | $11K |
46 more codes
| 90461 | <1% | 1,562 | $9K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 208 | $9K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 169 | $8K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,157 | $6K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 247 | $5K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 146 | $5K |
| 92551 | <1% | 875 | $4K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 113 | $4K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 454 | $4K |
| 99173 | <1% | 688 | $3K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 124 | $3K |
| 80061 | Lipid panel | <1% | 203 | $2K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 56 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 124 | $2K |
| 90686 | <1% | 1,278 | $2K | |
| 90677 | <1% | 54 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 76 | $1K |
| 95806 | <1% | 19 | $886.57 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 239 | $875.07 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 67 | $619.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | $507.16 |
| 93000 | <1% | 60 | $439.07 | |
| 82948 | <1% | 300 | $375.24 | |
| 83718 | <1% | 51 | $342.60 | |
| 90670 | <1% | 462 | $295.20 | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 19 | $271.62 |
| 83655 | <1% | 29 | $247.65 | |
| 81025 | <1% | 45 | $213.06 | |
| 82465 | <1% | 51 | $186.16 | |
| 93356 | <1% | 14 | $170.36 | |
| 96127 | <1% | 56 | $168.15 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 26 | $129.90 |
| 20610 | <1% | 19 | $127.29 | |
| 90656 | <1% | 137 | $74.30 | |
| 36416 | <1% | 477 | $63.70 | |
| 99442 | <1% | 17 | $48.32 | |
| 90648 | <1% | 452 | $0.05 | |
| 90723 | 0% | 175 | $0.00 | |
| G8432 | Depression screening not documented, reason not given | 0% | 36 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 573 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 69 | $0.00 |
| 90633 | 0% | 58 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 40 | $0.00 |
| 90715 | 0% | 13 | $0.00 | |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 35 | $0.00 |
| 90681 | 0% | 13 | $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 officialBERGAMO, SUZANNE (VICE PRESIDENT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.