Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Brigham & Womens Physicians Organization INC

Brigham & Womens Physicians Organization INC was paid $43.38M by Medicaid between Jan 2018 and Dec 2024, across 311 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 18% of everything it billed.

33Billing provider infoBRIGHAM & WOMENS PHYSICIANS ORGANIZATION INC
BOSTON, MA 02115
33aNPI1033535497assigned 03/10/2014
33bProvider typeRheumatology Physician
28Total paid$43.38M
24GClaims1,610,223
24DCodes billed311
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Rheumatology Physician providers in Massachusetts

Rank by total paid#1 of 46
Median peer was paid$12K
This provider vs. median3,494×

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

$0$500K$1.0M2018201920202021202220232024
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
YearClaimsPaid
2018207,156$5.10M
2019204,306$5.03M
2020177,202$5.15M
2021237,160$6.81M
2022250,408$7.17M
2023285,506$7.52M
2024incomplete248,485$6.61M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 18% 191,727 185,062 $8.02M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 15% 81,592 80,632 $6.62M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 6.0% 39,421 39,112 $2.62M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.8% 81,137 77,910 $2.50M
74177 Computed tomography, abdomen and pelvis; with contrast material 4.9% 52,417 51,472 $2.14M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 4.4% 80,830 32,165 $1.92M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 3.9% 48,693 19,056 $1.67M
88305 Level IV - Surgical pathology, gross and microscopic examination 3.3% 39,687 38,705 $1.43M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 2.2% 19,463 18,931 $958K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2.1% 11,312 5,063 $931K
77067 Screening mammography, bilateral, including computer-aided detection 2.1% 34,198 33,693 $908K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2.1% 251,970 219,061 $896K
299 more codes
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.8% 27,173 $768K
99215 Doctor's office visit, returning patient (complex) 1.6% 12,489 $708K
99223 Prolong inpt eval add15 m 1.5% 9,148 $662K
70450 Computed tomography, head or brain; without contrast material 1.3% 36,826 $583K
99204 Doctor's office visit, new patient (more involved) 1.2% 6,610 $509K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 1.1% 1,046 $480K
71260 Computed tomography, thorax, diagnostic; with contrast material 1.0% 18,319 $444K
77063 Screening digital breast tomosynthesis, bilateral 1.0% 32,175 $442K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1.0% 13,242 $434K
71046 Radiologic examination, chest; 2 views <1% 81,899 $410K
71045 Radiologic examination, chest; single view <1% 108,658 $393K
88307 <1% 5,878 $377K
71275 Computed tomographic angiography, chest, with contrast material <1% 9,800 $368K
99239 Hospital discharge day management, more than 30 minutes <1% 7,629 $356K
99222 Initial hospital care, per day, moderate complexity <1% 5,066 $252K
59025 Fetal non-stress test <1% 8,967 $250K
71250 <1% 13,502 $248K
78815 Positron emission tomography (PET) for limited area imaging <1% 4,527 $199K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 7,631 $185K
76830 Ultrasound, transvaginal <1% 7,190 $181K
90935 Hemodialysis procedure with single evaluation by a physician <1% 9,003 $173K
76819 Fetal biophysical profile; without non-stress testing <1% 5,626 $165K
99203 Doctor's office visit, new patient (routine) <1% 3,632 $163K
99460 <1% 1,412 $142K
99283 Emergency room visit (moderate) <1% 4,193 $142K
85390 <1% 6,886 $135K
72125 Computed tomography, cervical spine; without contrast material <1% 6,018 $113K
90792 Psychiatric diagnostic evaluation with medical services <1% 1,023 $112K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 704 $112K
31579 <1% 1,319 $110K
84165 <1% 17,841 $109K
31231 <1% 1,161 $101K
86334 <1% 15,954 $100K
88342 <1% 3,919 $93K
99238 Hospital discharge day management, 30 minutes or less <1% 2,480 $87K
97803 <1% 2,064 $86K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger <1% 269 $77K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 2,193 $76K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 4,529 $73K
76801 <1% 1,801 $68K
76642 <1% 3,067 $60K
99462 <1% 1,384 $60K
74174 <1% 1,427 $56K
95951 <1% 453 $56K
74183 <1% 1,068 $51K
64615 <1% 1,228 $50K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 1,305 $50K
95720 <1% 577 $50K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 639 $47K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 1,141 $47K
93016 <1% 5,434 $45K
93970 <1% 3,028 $45K
90961 <1% 737 $44K
88189 <1% 1,108 $43K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 2,084 $42K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 2,025 $42K
70496 <1% 1,114 $42K
76536 <1% 2,453 $39K
36902 <1% 870 $38K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 1,138 $38K
G0452 Molecular pathology procedure; physician interpretation and report <1% 2,811 $38K
70498 <1% 1,064 $38K
99205 Prolong outpt/office vis <1% 313 $35K
88141 <1% 1,523 $33K
90834 Psychotherapy session, about 45 minutes <1% 468 $30K
99255 <1% 124 $30K
93018 <1% 5,426 $30K
92557 <1% 1,125 $28K
94010 <1% 6,852 $28K
73630 <1% 6,227 $28K
76820 <1% 1,350 $27K
70551 Magnetic resonance imaging, brain; without contrast material <1% 847 $26K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,559 $25K
31575 <1% 439 $25K
74018 <1% 6,999 $24K
90686 <1% 1,948 $23K
77080 <1% 5,766 $21K
54150 <1% 264 $20K
83020 <1% 1,491 $20K
73564 <1% 3,707 $20K
88291 <1% 1,536 $19K
93295 <1% 948 $18K
88321 <1% 508 $18K
72100 <1% 3,073 $16K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials <1% 1,039 $16K
73030 <1% 3,536 $15K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 871 $14K
99443 <1% 2,733 $14K
99217 <1% 455 $14K
99308 Subsequent nursing facility care, per day, straightforward <1% 2,268 $14K
62323 <1% 419 $13K
00731 <1% 207 $13K
88350 <1% 199 $13K
99221 <1% 311 $12K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 168 $12K
52000 <1% 153 $12K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 308 $12K
93971 <1% 1,239 $12K
76770 <1% 761 $11K
71271 <1% 546 $11K
51798 <1% 1,562 $11K
62370 <1% 1,130 $11K
88112 <1% 992 $11K
43235 <1% 147 $11K
73610 <1% 2,153 $11K
11056 <1% 1,451 $11K
77066 Tomosynthesis, mammo <1% 378 $10K
20553 <1% 876 $10K
78451 <1% 420 $10K
77065 Tomosynthesis, mammo <1% 452 $10K
73221 <1% 250 $9K
73502 <1% 2,078 $9K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 130 $9K
99442 <1% 2,820 $9K
88313 <1% 1,136 $9K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 364 $9K
92567 <1% 758 $8K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 493 $8K
99254 <1% 42 $7K
99464 <1% 126 $7K
90791 Psychiatric diagnostic evaluation <1% 56 $7K
95816 <1% 338 $7K
91320 <1% 97 $7K
73130 <1% 1,483 $7K
76813 <1% 150 $7K
90837 Psychotherapy session, about an hour <1% 86 $7K
95806 <1% 191 $7K
99152 <1% 2,717 $6K
86255 <1% 724 $6K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 376 $6K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 219 $6K
0124A <1% 238 $6K
70544 <1% 252 $6K
95924 <1% 142 $6K
84166 <1% 893 $6K
85097 <1% 315 $6K
94729 <1% 1,553 $6K
90853 Group psychotherapy (other than of a multiple-family group) <1% 515 $5K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 88 $5K
93308 <1% 522 $5K
88312 <1% 268 $5K
90962 <1% 82 $5K
73562 <1% 1,030 $5K
97802 <1% 85 $5K
91065 <1% 882 $5K
72141 <1% 134 $4K
88348 <1% 141 $4K
95819 <1% 181 $4K
51701 <1% 278 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 68 $4K
99153 Mod sedat endo service >5yrs <1% 2,318 $4K
20610 <1% 141 $4K
99226 <1% 57 $3K
88173 <1% 112 $3K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 76 $3K
93294 <1% 498 $3K
G0127 Trimming of dystrophic nails, any number <1% 2,178 $3K
94726 <1% 604 $3K
77062 <1% 36 $3K
95923 <1% 143 $3K
G0297 Low dose ct scan (ldct) for lung cancer screening <1% 177 $3K
93000 <1% 450 $3K
36215 <1% 120 $3K
94003 <1% 132 $3K
88346 <1% 186 $3K
75574 <1% 51 $3K
90480 <1% 101 $3K
91200 <1% 358 $3K
95044 <1% 31 $2K
96137 <1% 16 $2K
88108 <1% 236 $2K
95251 <1% 210 $2K
72156 <1% 53 $2K
72132 <1% 99 $2K
93975 <1% 51 $2K
11750 <1% 30 $2K
72129 <1% 95 $2K
99220 <1% 26 $2K
99496 <1% 13 $2K
93248 <1% 203 $2K
11104 <1% 81 $2K
93298 <1% 187 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 62 $2K
78431 <1% 64 $2K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 95 $2K
94060 <1% 266 $2K
74246 <1% 67 $2K
75710 <1% 174 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 69 $2K
88304 <1% 261 $2K
72157 <1% 42 $2K
88331 <1% 50 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 169 $1K
85060 <1% 217 $1K
0004A <1% 57 $1K
77427 <1% 29 $1K
74175 <1% 42 $1K
36906 <1% 15 $1K
99480 Subsequent intensive care, per day, low birth weight infant <1% 14 $1K
72040 <1% 204 $1K
73110 <1% 299 $1K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 47 $1K
95913 <1% 13 $1K
G0141 Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician <1% 51 $1K
93892 <1% 37 $1K
49083 <1% 30 $968.59
93272 <1% 62 $941.10
93280 <1% 101 $921.90
78816 <1% 14 $920.00
93321 <1% 305 $894.86
76937 <1% 230 $888.60
95822 <1% 37 $885.57
95938 <1% 39 $867.40
93325 <1% 615 $866.90
36005 <1% 41 $857.93
17110 <1% 15 $836.10
81003 <1% 591 $821.41
11105 <1% 53 $800.18
73560 <1% 213 $792.68
95937 <1% 14 $783.42
96136 <1% 16 $782.79
11721 <1% 214 $780.29
46600 <1% 13 $751.14
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 272 $747.39
70491 <1% 30 $739.10
92083 <1% 65 $714.58
88311 <1% 170 $712.09
92133 <1% 55 $683.04
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 20 $574.87
99441 <1% 78 $539.57
64483 <1% 12 $532.94
77001 <1% 71 $531.14
95886 <1% 24 $522.35
93922 <1% 26 $505.74
95800 <1% 16 $474.40
99306 Prolong nursin fac eval 15m <1% 13 $469.11
93244 <1% 44 $467.66
72197 <1% 12 $462.92
J1030 Injection, methylprednisolone acetate, 40 mg <1% 70 $456.55
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 45 $451.88
88188 <1% 12 $445.56
31645 <1% 13 $441.01
93790 <1% 68 $437.39
88381 <1% 43 $434.69
A9585 Injection, gadobutrol, 0.1 ml <1% 44 $411.94
78434 <1% 27 $401.90
86256 <1% 47 $398.63
88360 <1% 14 $380.53
20550 <1% 16 $379.10
51705 <1% 13 $370.32
J1010 Injection, methylprednisolone acetate, 1 mg <1% 51 $365.10
95885 <1% 44 $342.11
72170 <1% 109 $339.74
94621 <1% 15 $334.71
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) <1% 465 $334.08
74230 <1% 53 $314.05
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 12 $305.91
92524 <1% 14 $297.81
G0008 Administration of influenza virus vaccine <1% 643 $294.44
83036 Hemoglobin; glycosylated (A1C) <1% 97 $279.45
70486 <1% 12 $263.41
78306 <1% 12 $248.86
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 85 $237.31
72158 <1% 12 $214.34
92504 <1% 26 $207.60
96127 <1% 567 $202.95
76604 <1% 13 $199.62
69210 <1% 12 $199.42
0054A <1% 12 $183.48
90662 <1% 128 $179.29
95991 <1% 13 $157.70
91010 <1% 14 $153.77
90472 Immunization administration, each additional vaccine (list separately) <1% 13 $143.56
73590 <1% 24 $111.99
77002 <1% 18 $103.22
73080 <1% 29 $100.84
36415 Collection of venous blood by venipuncture <1% 3,192 $99.28
94618 <1% 12 $89.00
77081 <1% 15 $68.89
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 123 $67.18
73552 <1% 13 $58.27
93356 <1% 40 $57.68
82962 <1% 258 $54.78
73060 <1% 13 $44.67
80053 Comprehensive metabolic panel <1% 30 $42.24
81001 <1% 24 $36.22
11719 <1% 12 $35.06
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 14 $29.23
80061 Lipid panel <1% 14 $26.78
85027 <1% 13 $12.94
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 12 $4.64
91312 <1% 234 $0.02
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 0% 14 $0.00
80048 Basic metabolic panel (calcium, ionized) 0% 12 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 10,285 $0.00
99497 0% 13 $0.00
90937 0% 41 $0.00
90750 0% 12 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 0% 26 $0.00

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 officialMORASH, DANIEL (CFO)
Same official

Other billing entities under MORASH, DANIEL

Full network →
ProviderLocationPaid
Brigham & Womens Hospital, INC.Boston, MA$252.58M
Brigham & Women's Physicians Organization INCMilford, MA$755.61

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.