Tufts Medical Center Community Care, INC

Tufts Medical Center Community Care, INC was paid $276K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 84% of everything it billed.

33Billing provider infoTUFTS MEDICAL CENTER COMMUNITY CARE, INC
BRAINTREE, MA 02184

33aNPI1063805687assigned 03/06/2015

33bProvider typePediatrics Physician

28Total paid$276K

24GClaims5,512

24DCodes billed10

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#227 of 1,273

Median peer was paid$24K

This provider vs. median12×

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	444	$34K
2019	807	$64K
2020	521	$42K
2021	1,032	$54K
2022	929	$45K
2023	893	$23K
2024incomplete	886	$13K

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	84%	4,206	4,056	$233K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	15%	969	921	$41K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	50	50	$974.93
90674		<1%	24	24	$550.00
99310	Prolong nursin fac eval 15m	<1%	80	65	$413.96
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	13	13	$217.10
99308	Subsequent nursing facility care, per day, straightforward	<1%	109	109	$163.83
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	23	23	$79.14
36415	Collection of venous blood by venipuncture	<1%	24	24	$21.60
96127		<1%	14	13	$1.10

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 officialGAGNE, NATHAN (CFO)

Parent organizationTUFTS MEDICAL CENTER PARENT, INC.