Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PRATT MEDICAL GROUP, INC

NPI: 1013237809 · BOSTON, MA 02111 · Gastroenterology Physician · NPI assigned 06/03/2010

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GALLEGOS, EDWARD controls 20+ related entities in our dataset. Read more

$141K
Total Medicaid Paid
3,828
Total Claims
3,143
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGALLEGOS, EDWARD (DIRECTOR)
NPI Enumeration Date06/03/2010

Related Entities

Other providers sharing the same authorized official: GALLEGOS, EDWARD

ProviderCityStateTotal Paid
PRATT PEDIATRIC ASSOCIATES INC BOSTON MA $7.66M
PRATT OPHTHALMOLOGY ASSOCIATES INC BOSTON MA $2.95M
PRATT OB/GYN ASSOCIATES, INC BOSTON MA $2.62M
PRATT MEDICAL GROUP, INC BOSTON MA $2.18M
PRATT RADIOLOGY ASSOCIATES, INC BOSTON MA $1.58M
PRATT PATHOLOGY ASSOCIATES, INC BOSTON MA $1.47M
PRATT MED/SURG DERMATOLOGY ASSOCIATES INC BOSTON MA $851K
CARDIOVASCULAR CENTER AT TUFTS MEDICAL CENTER, INC. BOSTON MA $721K
PRATT MEDICAL GROUP, INC BOSTON MA $705K
PRATT ORTHOPAEDIC ASSOCIATES, INC BOSTON MA $566K
PRATT OTOLARYNGOLOGY- HEAD & NECK SURGERY ASSOCIATES INC BOSTON MA $536K
PRATT PSYCHIATRIC ASSOCIATES, INC BOSTON MA $346K
PRATT NEUROLOGY ASSOCIATES, INC BOSTON MA $279K
PRATT MEDICAL GROUP, INC BOSTON MA $269K
PRATT MEDICAL GROUP, INC BOSTON MA $247K
PRATT MEDICAL GROUP, INC BOSTON MA $240K
PRATT UROLOGY ASSOCIATES, INC BOSTON MA $204K
PRATT ANESTHESIOLOGY ASSOCIATES, INC BOSTON MA $197K
PRATT MEDICAL GROUP, INC BOSTON MA $127K
PRATT SURGICAL ASSOCIATES INC BOSTON MA $123K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 255 $8K
2019 419 $15K
2020 365 $14K
2021 520 $24K
2022 605 $26K
2023 827 $24K
2024 837 $31K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,626 1,615 $54K
99232 Subsequent hospital care, per day, moderate complexity 738 316 $25K
99233 Prolong inpt eval add15 m 388 165 $16K
99223 Prolong inpt eval add15 m 118 114 $9K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 363 360 $8K
99222 Initial hospital care, per day, moderate complexity 107 97 $7K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 49 49 $6K
45380 Colonoscopy, flexible; with biopsy, single or multiple 69 69 $6K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 66 64 $4K
99215 Prolong outpt/office vis 60 59 $3K
99221 31 24 $1K
91200 200 199 $1K
99239 Hospital discharge day management, more than 30 minutes 13 12 $434.59