Physician
Lahey Clinic, INC
Lahey Clinic, INC was paid $3.29M by Medicaid between Jan 2018 and Dec 2024, across 81 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 24% of everything it billed.
33Billing provider infoLAHEY CLINIC, INC
PEABODY, MA 01960
PEABODY, MA 01960
33aNPI1063447316assigned 07/12/2006
33bProvider typeInternal Medicine Physician
28Total paid$3.29M
24GClaims165,154
24DCodes billed81
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Massachusetts
Rank by total paid#20 of 1,270
Median peer was paid$8K
This provider vs. median393×
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 | |
|---|---|---|---|
| 2018 | 19,852 | $407K | |
| 2019 | 23,338 | $442K | |
| 2020 | 14,042 | $292K | |
| 2021 | 17,758 | $341K | |
| 2022 | 23,739 | $453K | |
| 2023 | 35,997 | $700K | |
| 2024incomplete | 30,428 | $649K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 24% | 29,098 | 27,391 | $780K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 12% | 19,651 | 9,012 | $380K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 10% | 11,992 | 5,504 | $337K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 7.3% | 2,594 | 2,571 | $240K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 7.3% | 3,484 | 3,436 | $240K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.9% | 9,499 | 8,974 | $195K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 5.8% | 54,001 | 45,381 | $192K |
| 99223 | Prolong inpt eval add15 m | 4.4% | 2,401 | 2,333 | $143K |
| 99239 | Hospital discharge day management, more than 30 minutes | 4.2% | 4,405 | 4,282 | $137K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.3% | 1,744 | 1,697 | $76K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2.0% | 1,973 | 1,962 | $65K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.0% | 2,172 | 2,101 | $65K |
69 more codes
| 99215 | Doctor's office visit, returning patient (complex) | 1.8% | 1,382 | $58K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 1.6% | 1,319 | $54K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 865 | $29K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,296 | $28K |
| 99283 | Emergency room visit (moderate) | <1% | 695 | $27K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 373 | $22K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 419 | $22K |
| 20610 | <1% | 939 | $19K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 461 | $18K |
| 92015 | Determination of refractive state | <1% | 1,403 | $18K |
| 92134 | <1% | 1,904 | $17K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 225 | $16K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 850 | $15K |
| 93000 | <1% | 2,179 | $12K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,297 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 920 | $10K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 385 | $9K |
| 67028 | Intravitreal injection of a pharmacologic agent | <1% | 166 | $5K |
| 92557 | <1% | 144 | $4K | |
| 88307 | <1% | 66 | $4K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 554 | $3K |
| 64615 | <1% | 56 | $3K | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 74 | $3K |
| 88342 | <1% | 136 | $3K | |
| 11721 | <1% | 494 | $2K | |
| 99443 | <1% | 273 | $2K | |
| 76642 | <1% | 101 | $2K | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 89 | $2K |
| 92567 | <1% | 144 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 64 | $2K |
| 71045 | Radiologic examination, chest; single view | <1% | 506 | $1K |
| 92083 | <1% | 31 | $1K | |
| 99442 | <1% | 191 | $1K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 431 | $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) | <1% | 192 | $832.77 |
| 36415 | Collection of venous blood by venipuncture | <1% | 348 | $801.42 |
| 92133 | <1% | 70 | $782.72 | |
| 99292 | <1% | 13 | $722.86 | |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 12 | $648.89 |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 17 | $626.88 |
| 62323 | <1% | 12 | $622.49 | |
| 94729 | <1% | 161 | $529.78 | |
| 77066 | Tomosynthesis, mammo | <1% | 24 | $501.64 |
| 99205 | Prolong outpt/office vis | <1% | 12 | $476.43 |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 26 | $441.84 |
| 99219 | <1% | 12 | $432.28 | |
| 94060 | <1% | 92 | $407.41 | |
| 99221 | <1% | 14 | $357.63 | |
| 99217 | <1% | 13 | $314.30 | |
| 88112 | <1% | 15 | $263.25 | |
| 76770 | <1% | 12 | $242.30 | |
| 76830 | Ultrasound, transvaginal | <1% | 13 | $230.79 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 13 | $195.40 |
| 73030 | <1% | 40 | $183.23 | |
| 94010 | <1% | 16 | $124.54 | |
| 0003A | <1% | 12 | $115.16 | |
| 94726 | <1% | 12 | $72.68 | |
| 51798 | <1% | 13 | $68.00 | |
| 81002 | <1% | 27 | $58.33 | |
| 94760 | <1% | 37 | $49.03 | |
| 73564 | <1% | 13 | $35.08 | |
| 77080 | <1% | 14 | $34.85 | |
| 73630 | <1% | 13 | $29.85 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 44 | $28.12 |
| 99441 | <1% | 18 | $25.50 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 14 | $20.45 |
| 99406 | <1% | 13 | $5.82 | |
| 11719 | <1% | 12 | $2.44 | |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | 0% | 339 | $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 officialMOFFATT-BRUCE, SUSAN (PRESIDENT)
Parent organizationBETH ISRAEL LAHEY HEALTH INC
| Provider | Location | Paid |
|---|---|---|
| Lahey Clinic, INC. | Burlington, MA | $5.70M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.