Melrose Surgical Associates, PC

Melrose Surgical Associates, PC was paid $9K by Medicaid between May 2018 and May 2023, across 3 billing codes. Its largest line is 11042, Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm — 63% of everything it billed.

33Billing provider infoMELROSE SURGICAL ASSOCIATES, PC
MELROSE, MA 02176

33aNPI1972562320assigned 03/22/2006

33bProvider typeSurgery Physician

28Total paid$9K

24GClaims930

24DCodes billed3

24AFirst – last monthMay 2018 – May 2023

Compared with peers

Next to other Surgery Physician providers in Massachusetts

Rank by total paid#34 of 76

Median peer was paid$6K

This provider vs. median1.5×

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	185	$434.92
2019	79	$1K
2020	21	$144.60
2021	77	$2K
2022	440	$3K
2023	128	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
11042	Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm	63%	535	246	$6K
99308	Subsequent nursing facility care, per day, straightforward	28%	374	140	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	9.1%	21	12	$795.18

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 officialSHERNOFF, CLAIRE (PARTNER)