SC Orthopedics of New England,pc.

SC Orthopedics of New England,pc. was paid $9K by Medicaid between Dec 2018 and Jan 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 86% of everything it billed.

33Billing provider infoSC ORTHOPEDICS OF NEW ENGLAND,PC.
SPRINGFIELD, MA 01104

33aNPI1922502095assigned 03/22/2018

33bProvider typeOrthopaedic Surgery Physician

28Total paid$9K

24GClaims233

24DCodes billed3

24AFirst – last monthDec 2018 – Jan 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Massachusetts

Rank by total paid#88 of 166

Median peer was paid$10K

This provider vs. median0.9×

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	16	$372.25
2019	37	$948.30
2020	54	$2K
2021	14	$516.11
2022	15	$464.88
2023	81	$4K
2024incomplete	16	$989.04

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	86%	204	196	$8K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	9.5%	13	13	$853.57
99221		4.2%	16	15	$372.25

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 officialWORTHINGTON, ASHLEY (CREDENTIALING)