Physician
Saco River Medical Group, PC
Saco River Medical Group, PC was paid $5.30M by Medicaid between Jan 2018 and Dec 2024, across 58 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 94% of everything it billed.
33Billing provider infoSACO RIVER MEDICAL GROUP, PC
CONWAY, NH 03818
CONWAY, NH 03818
33aNPI1861587453assigned 10/03/2006
33bProvider typeEmergency Medicine Physician
28Total paid$5.30M
24GClaims219,204
24DCodes billed58
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Emergency Medicine Physician providers in New Hampshire
Rank by total paid#2 of 34
Median peer was paid$15K
This provider vs. median344×
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 | 15,268 | $511K | |
| 2019 | 16,814 | $586K | |
| 2020 | 17,356 | $593K | |
| 2021 | 32,997 | $753K | |
| 2022 | 54,319 | $782K | |
| 2023 | 48,198 | $833K | |
| 2024incomplete | 34,252 | $1.25M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 94% | 51,644 | 40,388 | $4.97M |
| 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 | 3.0% | 18,881 | 15,039 | $157K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.5% | 24,636 | 20,227 | $80K |
| 87428 | <1% | 651 | 607 | $28K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,466 | 1,355 | $11K |
| 96127 | <1% | 5,818 | 4,330 | $8K | |
| 99188 | <1% | 869 | 781 | $6K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 5,340 | 4,617 | $6K |
| 3074F | <1% | 17,230 | 14,289 | $5K | |
| 3078F | <1% | 15,036 | 12,512 | $5K | |
| 92551 | <1% | 1,987 | 1,805 | $5K | |
| 1160F | <1% | 20,417 | 16,144 | $2K |
46 more codes
| 0071A | <1% | 56 | $2K | |
| 90686 | <1% | 3,099 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 253 | $1K |
| 90480 | <1% | 101 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,187 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 523 | $1K |
| 90461 | <1% | 1,048 | $991.67 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 25 | $953.04 |
| 3079F | <1% | 2,828 | $899.98 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 125 | $885.10 |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 23 | $807.20 |
| 0072A | <1% | 23 | $800.00 | |
| 99177 | <1% | 118 | $601.78 | |
| 3725F | <1% | 5,239 | $490.39 | |
| 0124A | <1% | 12 | $480.00 | |
| 1036F | <1% | 10,512 | $379.58 | |
| 3008F | <1% | 23,188 | $350.08 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 944 | $329.85 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 93 | $280.20 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 268 | $192.09 |
| 3075F | <1% | 714 | $150.41 | |
| 98925 | <1% | 15 | $132.03 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 177 | $124.14 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 36 | $118.42 |
| 36415 | Collection of venous blood by venipuncture | <1% | 864 | $86.34 |
| 81002 | <1% | 79 | $84.51 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $65.66 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 180 | $57.60 |
| 96160 | <1% | 172 | $36.40 | |
| 99000 | <1% | 1,170 | $35.96 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 91 | $35.66 |
| 3077F | <1% | 512 | $0.28 | |
| 3080F | <1% | 321 | $0.19 | |
| 90656 | 0% | 238 | $0.00 | |
| 1125F | 0% | 83 | $0.00 | |
| 1126F | 0% | 288 | $0.00 | |
| 91307 | 0% | 155 | $0.00 | |
| 36416 | 0% | 75 | $0.00 | |
| 90723 | 0% | 28 | $0.00 | |
| 90648 | 0% | 105 | $0.00 | |
| 90670 | 0% | 101 | $0.00 | |
| 90633 | 0% | 15 | $0.00 | |
| 90685 | 0% | 84 | $0.00 | |
| 91322 | 0% | 15 | $0.00 | |
| 91300 | 0% | 20 | $0.00 | |
| 91312 | 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 officialEMERY, ROSS (PRESIDENT)