Hospital
Boston Medical Center Corporation
Boston Medical Center Corporation was paid $1.99M by Medicaid between May 2019 and Feb 2024, across 21 billing codes. Its largest line is T1040, Medicaid certified community behavioral health clinic services, per diem — 23% of everything it billed.
33Billing provider infoBOSTON MEDICAL CENTER CORPORATION
BROCKTON, MA 02301
BROCKTON, MA 02301
33aNPI1033854153assigned 05/03/2022
33bProvider typeGeneral Acute Care Hospital
28Total paid$1.99M
24GClaims19,327
24DCodes billed21
24AFirst – last monthMay 2019 – Feb 2024
Compared with peers
Next to other General Acute Care Hospital providers in Massachusetts
Rank by total paid#46 of 66
Median peer was paid$29.11M
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2019 | 842 | $82K | |
| 2020 | 4,321 | $344K | |
| 2021 | 4,320 | $380K | |
| 2022 | 4,954 | $459K | |
| 2023 | 4,744 | $712K | |
| 2024incomplete | 146 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 23% | 1,895 | 1,421 | $448K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 16% | 4,029 | 2,888 | $323K |
| 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 | 14% | 3,467 | 3,228 | $278K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10.0% | 3,425 | 3,276 | $199K |
| S9485 | Crisis intervention mental health services, per diem | 8.5% | 185 | 40 | $168K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 7.0% | 1,154 | 1,137 | $139K |
| 96112 | 6.5% | 681 | 673 | $130K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 4.4% | 2,068 | 1,655 | $88K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 4.2% | 807 | 525 | $84K |
| 96113 | 2.3% | 467 | 464 | $45K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.5% | 372 | 364 | $30K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.2% | 215 | 204 | $23K |
9 more codes
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 129 | $15K |
| 99255 | <1% | 27 | $7K | |
| 90887 | <1% | 128 | $5K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 28 | $2K |
| 98968 | <1% | 79 | $2K | |
| 99285 | Emergency room visit (most serious) | <1% | 14 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 113 | $1K |
| 99443 | <1% | 26 | $767.00 | |
| 99442 | <1% | 18 | $353.34 |
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 officialNEWSOM, TERRI (SVP AND CFO)