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Southcoast Hospitals Group, INC

General Acute Care Hospital·New Bedford, MA·NPI: 1447275037Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $172.8M is at the 50th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$172.8M

$172,795,577

Total Claims

4.9M

Beneficiaries

4.0M

1.2 claims/patient

Avg Cost/Claim

$35

#563 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

Southcoast Hospitals Group, INC is a General Acute Care Hospital provider based in New Bedford, MA. From the 2018–2024 period, this provider received $172.8M in Medicaid payments across 4.9M claims.

Why This Matters

This provider received $172.8M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 21,599 Medicaid beneficiaries for a full year at average per-enrollee costs.

↓ 10% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$27.3M
-13%
2019
$23.8M
-21%
2020
$18.8M
+27%
2021
$23.9M
+14%
2022
$27.1M
+0%
2023
$27.3M
-10%
2024
$24.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 10% of total spending.

99283Top 10%

Emergency dept visit, moderate complexity

$17.1M

100K claims · 9.9%

Your Cost: $170.85/claim|Median: $42.48
4.0× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$14.4M

93K claims · 8.3%

Your Cost: $155.49/claim|Median: $85.65
1.8× median
99284Top 25%

Emergency dept visit, high complexity

$12.1M

79K claims · 7.0%

Your Cost: $152.62/claim|Median: $69.51
2.2× median
96361Top 5%

IV infusion, hydration, each additional hour

$10.6M

30K claims · 6.2%

Your Cost: $360.16/claim|Median: $38.92
9.3× median
97110Top 10%

Therapeutic exercises, each 15 min

$7.9M

106K claims · 4.5%

Your Cost: $74.43/claim|Median: $24.49
3.0× median
G0378Normal range

Hospital observation service, per hour

$7.4M

67K claims · 4.3%

Your Cost: $110.82/claim|Median: $99.39
1.1× median
92507Top 5%

Speech/hearing/language treatment

$4.7M

34K claims · 2.7%

Your Cost: $141.13/claim|Median: $49.45
2.9× median
70450Top 25%

CT head/brain without contrast

$3.1M

27K claims · 1.8%

Your Cost: $112.98/claim|Median: $45.53
2.5× median
74177Normal range

CT abdomen and pelvis with contrast

$3.1M

21K claims · 1.8%

Your Cost: $144.14/claim|Median: $65.76
2.2× median
96365Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$2.9M

25K claims · 1.7%

Your Cost: $113.32/claim|Median: $54.77
2.1× median
97530Top 25%

Therapeutic activities, each 15 min

$2.8M

39K claims · 1.6%

Your Cost: $73.52/claim|Median: $33.11
2.2× median
96366Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$2.8M

15K claims · 1.6%

Your Cost: $185.53/claim|Median: $40.12
4.6× median
99212Top 5%

Office/outpatient visit, low complexity

$2.7M

18K claims · 1.5%

Your Cost: $148.71/claim|Median: $25.06
5.9× median
87637Top 25%

Respiratory virus detection, 3-5 targets, nucleic acid

$2.6M

19K claims · 1.5%

Your Cost: $134.57/claim|Median: $100.62
1.3× median
S9485Normal range

Crisis intervention mental health services, per diem

$2.6M

5K claims · 1.5%

Your Cost: $516.48/claim|Median: $501.33
1.0× median
11042Top 10%

Debridement, subcutaneous tissue, first 20 sq cm

$2.5M

13K claims · 1.4%

Your Cost: $194.07/claim|Median: $36.13
5.4× median
99282Top 10%

Emergency dept visit, low complexity

$2.3M

14K claims · 1.4%

Your Cost: $172.29/claim|Median: $37.72
4.6× median
U0003Normal range

Infectious disease detection (COVID-19)

$2.3M

34K claims · 1.3%

Your Cost: $68.71/claim|Median: $63.08
1.1× median
59025Top 5%

Fetal non-stress test

$2.1M

8K claims · 1.2%

Your Cost: $270.99/claim|Median: $26.45
10.3× median
99291Top 25%

Critical care, first 30-74 minutes

$2.0M

12K claims · 1.2%

Your Cost: $171.04/claim|Median: $101.24
1.7× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$1.5M

43K claims · 0.9%

Your Cost: $35.88/claim|Median: $35.43
1.0× median
43239Top 10%

Upper GI endoscopy with biopsy

$1.5M

3K claims · 0.9%

Your Cost: $545.16/claim|Median: $151.68
3.6× median
97140Top 10%

Manual therapy techniques, per 15 minutes

$1.5M

40K claims · 0.8%

Your Cost: $36.47/claim|Median: $16.79
2.2× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$1.4M

57K claims · 0.8%

Your Cost: $25.59/claim|Median: $23.39
1.1× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$1.4M

56K claims · 0.8%

Your Cost: $25.30/claim|Median: $24.95
1.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$1.4M

288K claims · 0.8%

Your Cost: $4.70/claim|Median: $4.71
1.0× median
97535Top 25%

Self-care/home management training, per 15 minutes

$1.3M

22K claims · 0.8%

Your Cost: $60.21/claim|Median: $18.18
3.3× median
74176Top 25%

CT abdomen and pelvis without contrast

$1.3M

9K claims · 0.8%

Your Cost: $154.29/claim|Median: $60.19
2.6× median
71275Top 25%

CT angiography, chest, with contrast

$1.3M

7K claims · 0.8%

Your Cost: $179.15/claim|Median: $92.96
1.9× median
64483Top 10%

$1.3M

3K claims · 0.7%

Your Cost: $477.51/claim|Median: $124.24
3.8× median

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