Clinic
Southcoast Physicians Group, INC.
Southcoast Physicians Group, INC. was paid $4.84M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoSOUTHCOAST PHYSICIANS GROUP, INC.
FAIRHAVEN, MA 02719
FAIRHAVEN, MA 02719
33aNPI1861830143assigned 06/10/2013
33bProvider typeUrgent Care Clinic/Center
28Total paid$4.84M
24GClaims84,313
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Massachusetts
Rank by total paid#3 of 117
Median peer was paid$225K
This provider vs. median21×
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 | 71 | $4K | |
| 2019 | 816 | $85K | |
| 2020 | 26 | $960.67 | |
| 2021 | 2,864 | $140K | |
| 2022 | 22,535 | $1.27M | |
| 2023 | 29,290 | $1.60M | |
| 2024incomplete | 28,711 | $1.74M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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% | 26,894 | 25,507 | $1.58M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 15% | 9,047 | 9,011 | $746K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 13% | 4,610 | 4,540 | $636K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 12% | 4,152 | 4,107 | $592K |
| 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 | 11% | 6,022 | 5,875 | $510K |
| 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 | 5.7% | 2,120 | 2,100 | $274K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.0% | 10,345 | 9,905 | $144K |
| 87428 | 2.4% | 1,890 | 1,879 | $118K | |
| 71046 | Radiologic examination, chest; 2 views | 1.2% | 3,261 | 3,211 | $57K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 857 | 852 | $31K |
| 81025 | <1% | 3,576 | 3,477 | $26K | |
| 73630 | <1% | 986 | 972 | $19K |
26 more codes
| 73610 | <1% | 819 | $17K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 269 | $15K |
| 81002 | <1% | 4,878 | $14K | |
| 93000 | <1% | 849 | $11K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 758 | $9K |
| 73130 | <1% | 390 | $8K | |
| 73564 | <1% | 279 | $7K | |
| 73110 | <1% | 232 | $6K | |
| 99441 | <1% | 294 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 271 | $3K |
| 73030 | <1% | 152 | $3K | |
| 86308 | <1% | 428 | $2K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 116 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $1K |
| 69209 | <1% | 96 | $1K | |
| 90715 | <1% | 33 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 60 | $1K |
| 10060 | <1% | 12 | $1K | |
| 73140 | <1% | 42 | $1K | |
| 71101 | <1% | 44 | $940.21 | |
| 82962 | <1% | 196 | $534.48 | |
| 73080 | <1% | 25 | $466.72 | |
| 72100 | <1% | 12 | $258.50 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 127 | $118.22 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 86 | $67.60 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 72 | $10.53 |
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 officialZIZZO, TAMMY (DIRECTOR, CBO)