Medicaid Provider Spending

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

LAHEY CLINIC, INC

NPI: 1063447316 · PEABODY, MA 01960 · Internal Medicine Physician · NPI assigned 07/12/2006

$3.29M
Total Medicaid Paid
165,154
Total Claims
134,955
Beneficiaries
81
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMOFFATT-BRUCE, SUSAN (PRESIDENT)
Parent OrganizationBETH ISRAEL LAHEY HEALTH INC
NPI Enumeration Date07/12/2006

Related Entities

Other providers sharing the same authorized official: MOFFATT-BRUCE, SUSAN

ProviderCityStateTotal Paid
LAHEY CLINIC, INC. BURLINGTON MA $5.70M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 19,852 $407K
2019 23,338 $442K
2020 14,042 $292K
2021 17,758 $341K
2022 23,739 $453K
2023 35,997 $700K
2024 30,428 $649K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 29,098 27,391 $780K
99232 Subsequent hospital care, per day, moderate complexity 19,651 9,012 $380K
99233 Prolong inpt eval add15 m 11,992 5,504 $337K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,594 2,571 $240K
99284 Emergency department visit for the evaluation and management, high severity 3,484 3,436 $240K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,499 8,974 $195K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 54,001 45,381 $192K
99223 Prolong inpt eval add15 m 2,401 2,333 $143K
99239 Hospital discharge day management, more than 30 minutes 4,405 4,282 $137K
99222 Initial hospital care, per day, moderate complexity 1,744 1,697 $76K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,973 1,962 $65K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,172 2,101 $65K
99215 Prolong outpt/office vis 1,382 1,321 $58K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,319 1,294 $54K
77067 Screening mammography, bilateral, including computer-aided detection 865 861 $29K
90834 Psychotherapy, 45 minutes with patient 1,296 938 $28K
99283 Emergency department visit for the evaluation and management, moderate severity 695 687 $27K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 373 233 $22K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 419 419 $22K
20610 939 867 $19K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 461 460 $18K
92015 Determination of refractive state 1,403 1,394 $18K
92134 1,904 1,842 $17K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 225 225 $16K
77063 Screening digital breast tomosynthesis, bilateral 850 846 $15K
93000 2,179 2,142 $12K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,297 531 $11K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 920 881 $10K
99238 Hospital discharge day management, 30 minutes or less 385 375 $9K
67028 Intravitreal injection of a pharmacologic agent 166 156 $5K
92557 144 144 $4K
88307 66 66 $4K
71046 Radiologic examination, chest; 2 views 554 543 $3K
64615 56 56 $3K
74177 Computed tomography, abdomen and pelvis; with contrast material 74 74 $3K
88342 136 124 $3K
11721 494 492 $2K
99443 273 240 $2K
76642 101 100 $2K
70450 Computed tomography, head or brain; without contrast material 89 86 $2K
92567 144 144 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 64 64 $2K
71045 Radiologic examination, chest; single view 506 467 $1K
92083 31 31 $1K
99442 191 169 $1K
G0444 Annual depression screening, 5 to 15 minutes 431 429 $917.73
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) 192 184 $832.77
36415 Collection of venous blood by venipuncture 348 327 $801.42
92133 70 70 $782.72
99292 13 12 $722.86
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 12 12 $648.89
74176 Computed tomography, abdomen and pelvis; without contrast material 17 17 $626.88
62323 12 12 $622.49
94729 161 161 $529.78
77066 Tomosynthesis, mammo 24 24 $501.64
99205 Prolong outpt/office vis 12 12 $476.43
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 26 26 $441.84
99219 12 12 $432.28
94060 92 92 $407.41
99221 14 14 $357.63
99217 13 13 $314.30
88112 15 15 $263.25
76770 12 12 $242.30
76830 Ultrasound, transvaginal 13 13 $230.79
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 13 13 $195.40
73030 40 40 $183.23
94010 16 15 $124.54
0003A 12 12 $115.16
94726 12 12 $72.68
51798 13 13 $68.00
81002 27 26 $58.33
94760 37 33 $49.03
73564 13 12 $35.08
77080 14 14 $34.85
73630 13 13 $29.85
G0442 Annual alcohol misuse screening, 5 to 15 minutes 44 44 $28.12
99441 18 18 $25.50
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 14 14 $20.45
99406 13 13 $5.82
11719 12 12 $2.44
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 339 278 $0.00