Medicaid Provider Spending

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

PRATT OPHTHALMOLOGY ASSOCIATES INC

NPI: 1083660534 · BOSTON, MA 02111 · Ophthalmology Physician · NPI assigned 05/26/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GALLEGOS, EDWARD controls 20+ related entities in our dataset. Read more

$2.95M
Total Medicaid Paid
110,437
Total Claims
106,158
Beneficiaries
30
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGALLEGOS, EDWARD (DIRECTOR)
NPI Enumeration Date05/26/2006

Related Entities

Other providers sharing the same authorized official: GALLEGOS, EDWARD

ProviderCityStateTotal Paid
PRATT PEDIATRIC ASSOCIATES INC BOSTON MA $7.66M
PRATT OB/GYN ASSOCIATES, INC BOSTON MA $2.62M
PRATT MEDICAL GROUP, INC BOSTON MA $2.18M
PRATT RADIOLOGY ASSOCIATES, INC BOSTON MA $1.58M
PRATT PATHOLOGY ASSOCIATES, INC BOSTON MA $1.47M
PRATT MED/SURG DERMATOLOGY ASSOCIATES INC BOSTON MA $851K
CARDIOVASCULAR CENTER AT TUFTS MEDICAL CENTER, INC. BOSTON MA $721K
PRATT MEDICAL GROUP, INC BOSTON MA $705K
PRATT ORTHOPAEDIC ASSOCIATES, INC BOSTON MA $566K
PRATT OTOLARYNGOLOGY- HEAD & NECK SURGERY ASSOCIATES INC BOSTON MA $536K
PRATT PSYCHIATRIC ASSOCIATES, INC BOSTON MA $346K
PRATT NEUROLOGY ASSOCIATES, INC BOSTON MA $279K
PRATT MEDICAL GROUP, INC BOSTON MA $269K
PRATT MEDICAL GROUP, INC BOSTON MA $247K
PRATT MEDICAL GROUP, INC BOSTON MA $240K
PRATT UROLOGY ASSOCIATES, INC BOSTON MA $204K
PRATT ANESTHESIOLOGY ASSOCIATES, INC BOSTON MA $197K
PRATT MEDICAL GROUP, INC BOSTON MA $141K
PRATT MEDICAL GROUP, INC BOSTON MA $127K
PRATT SURGICAL ASSOCIATES INC BOSTON MA $123K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 16,768 $368K
2019 16,448 $412K
2020 10,976 $312K
2021 16,045 $447K
2022 14,774 $414K
2023 18,853 $512K
2024 16,573 $483K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 35,729 35,115 $1.40M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,195 7,973 $223K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 2,686 2,633 $209K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,297 5,096 $169K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 6,966 6,689 $147K
J0178 Injection, aflibercept, 1 mg 477 407 $138K
92134 15,291 14,421 $134K
67028 Intravitreal injection of a pharmacologic agent 4,624 4,347 $108K
92015 Determination of refractive state 8,417 8,188 $96K
92083 7,349 6,958 $83K
92133 8,410 7,968 $79K
92060 2,572 2,456 $70K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 313 309 $27K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,051 660 $19K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 117 106 $13K
92020 1,312 1,297 $11K
92136 475 442 $5K
92025 186 183 $2K
88313 258 258 $2K
88304 225 209 $1K
88312 87 70 $1K
92250 155 150 $1K
99205 Prolong outpt/office vis 12 12 $1K
88342 45 39 $974.50
88307 14 14 $917.28
99215 Prolong outpt/office vis 12 12 $865.85
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $637.42
76514 113 109 $409.18
92132 12 12 $93.45
92226 25 13 $0.00