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SOUTHCOAST PHYSICIANS GROUP, INC.

Family Medicine·FAIRHAVEN, MA·NPI: 1336137629Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $49.7M is at the 75th percentile among 19 Family Medicine providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$49.7M

$49,732,810

Total Claims

1.5M

Beneficiaries

1.4M

1.1 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$7.8M
-4%
2019
$7.5M
-2%
2020
$7.4M
-6%
2021
$6.9M
+9%
2022
$7.6M
-7%
2023
$7.0M
-22%
2024
$5.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 32% of total spending.

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$15.9M

371K claims · 32.0%

Your Cost: $42.87/claim|Median: $53.41
0.8× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$9.3M

273K claims · 18.6%

Your Cost: $33.92/claim|Median: $37.81
0.9× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$3.0M

121K claims · 5.9%

Your Cost: $24.48/claim|Median: $23.99
1.0× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$2.2M

25K claims · 4.5%

Your Cost: $88.22/claim|Median: $84.03
1.0× median
99233Normal range

Subsequent hospital care, per day, high complexity

$1.9M

53K claims · 3.8%

Your Cost: $35.69/claim|Median: $35.30
1.0× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$1.6M

26K claims · 3.2%

Your Cost: $60.33/claim|Median: $57.85
1.0× median
99223Normal range

Initial hospital care, per day, high complexity

$1.6M

21K claims · 3.2%

Your Cost: $74.43/claim|Median: $67.32
1.1× median
99291Normal range

Critical care, first 30-74 minutes

$1.2M

15K claims · 2.5%

Your Cost: $83.34/claim|Median: $101.24
0.8× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$1.2M

31K claims · 2.3%

Your Cost: $38.04/claim|Median: $43.85
0.9× median
99222Normal range

Initial hospital care, per day, moderate complexity

$878K

17K claims · 1.8%

Your Cost: $51.53/claim|Median: $51.25
1.0× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$824K

20K claims · 1.7%

Your Cost: $41.74/claim|Median: $54.68
0.8× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$453K

17K claims · 0.9%

Your Cost: $26.89/claim|Median: $17.85
1.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$390K

6,922 claims · 0.8%

Your Cost: $56.38/claim|Median: $75.18
0.7× median
99215Normal range

Office/outpatient visit, high complexity

$350K

6,765 claims · 0.7%

Your Cost: $51.74/claim|Median: $74.09
0.7× median
95886Normal range

$350K

4,274 claims · 0.7%

Your Cost: $81.82/claim|Median: $67.70
1.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$341K

5,926 claims · 0.7%

Your Cost: $57.55/claim|Median: $74.82
0.8× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$318K

46K claims · 0.6%

Your Cost: $6.96/claim|Median: $9.70
0.7× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$301K

14K claims · 0.6%

Your Cost: $21.29/claim|Median: $36.13
0.6× median
90791Normal range

Psychiatric diagnostic evaluation

$264K

2,711 claims · 0.5%

Your Cost: $97.43/claim|Median: $99.21
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$246K

4,720 claims · 0.5%

Your Cost: $52.05/claim|Median: $69.35
0.8× median
43239Normal range

Upper GI endoscopy with biopsy

$237K

4,427 claims · 0.5%

Your Cost: $53.53/claim|Median: $151.68
0.4× median
90960Top 25%

End-stage renal disease services, per month, age 20+

$234K

2,607 claims · 0.5%

Your Cost: $89.86/claim|Median: $52.76
1.7× median
96110Normal range

Developmental screening, per standardized instrument

$228K

22K claims · 0.5%

Your Cost: $10.30/claim|Median: $9.10
1.1× median
S0302Normal range

$224K

26K claims · 0.5%

Your Cost: $8.67/claim|Median: $9.05
1.0× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$223K

3,282 claims · 0.4%

Your Cost: $67.80/claim|Median: $58.55
1.2× median
93010Normal range

Electrocardiogram, interpretation and report only

$210K

54K claims · 0.4%

Your Cost: $3.86/claim|Median: $5.60
0.7× median
95913Normal range

$202K

1,397 claims · 0.4%

Your Cost: $144.76/claim|Median: $166.25
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$195K

8,957 claims · 0.4%

Your Cost: $21.73/claim|Median: $25.06
0.9× median
G0108Top 25%

Diabetes self-management training, individual

$185K

3,435 claims · 0.4%

Your Cost: $53.92/claim|Median: $35.89
1.5× median
99394Normal range

Preventive medicine, established patient, age 12-17

$179K

2,805 claims · 0.4%

Your Cost: $63.78/claim|Median: $80.15
0.8× median
76830Normal range

Ultrasound, transvaginal

$172K

2,604 claims · 0.3%

Your Cost: $66.03/claim|Median: $57.47
1.1× median
99396Normal range

Preventive medicine, established patient, age 40-64

$162K

2,043 claims · 0.3%

Your Cost: $79.15/claim|Median: $76.06
1.0× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$161K

6,222 claims · 0.3%

Your Cost: $25.93/claim|Median: $29.03
0.9× median
99309Normal range

Nursing facility care, subsequent, low complexity

$145K

11K claims · 0.3%

Your Cost: $12.95/claim|Median: $14.00
0.9× median
99220Normal range

$136K

1,787 claims · 0.3%

Your Cost: $75.89/claim|Median: $73.56
1.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$134K

1,885 claims · 0.3%

Your Cost: $71.09/claim|Median: $72.71
1.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$128K

11K claims · 0.3%

Your Cost: $11.20/claim|Median: $11.48
1.0× median
90471Top 25%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$126K

8,505 claims · 0.3%

Your Cost: $14.85/claim|Median: $9.80
1.5× median
90837Top 25%

Psychotherapy, 60 minutes

$110K

923 claims · 0.2%

Your Cost: $119.13/claim|Median: $85.66
1.4× median
99308Normal range

Nursing facility care, subsequent, straightforward

$105K

11K claims · 0.2%

Your Cost: $9.81/claim|Median: $9.79
1.0× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$104K

1,073 claims · 0.2%

Your Cost: $97.08/claim|Median: $111.09
0.9× median
64483Normal range

$100K

1,719 claims · 0.2%

Your Cost: $58.18/claim|Median: $124.24
0.5× median
92507Normal range

Speech/hearing/language treatment

$95K

1,664 claims · 0.2%

Your Cost: $57.10/claim|Median: $49.45
1.2× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$95K

1,765 claims · 0.2%

Your Cost: $53.64/claim|Median: $47.65
1.1× median
59400Top 25%

Routine obstetric care, vaginal delivery, including postpartum

$93K

43 claims · 0.2%

Your Cost: $2,173.45/claim|Median: $1,482.45
1.5× median
87637Top 10%

Respiratory virus detection, 3-5 targets, nucleic acid

$88K

616 claims · 0.2%

Your Cost: $142.63/claim|Median: $100.62
1.4× median
99219Normal range

$84K

1,513 claims · 0.2%

Your Cost: $55.27/claim|Median: $63.35
0.9× median
90961Normal range

$82K

1,143 claims · 0.2%

Your Cost: $71.93/claim|Median: $47.22
1.5× median
99188Top 5%

$81K

3,096 claims · 0.2%

Your Cost: $26.28/claim|Median: $12.80
2.1× median
92557Normal range

Comprehensive audiometry, air, bone, and speech testing

$79K

2,746 claims · 0.2%

Your Cost: $28.86/claim|Median: $27.28
1.1× median

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