Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Pfeifer, Walther

Pfeifer, Walther was paid $107K by Medicaid between Aug 2020 and Oct 2023, across 47 billing codes. Its largest line is U0003, Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r — 23% of everything it billed.

33Billing provider infoPFEIFER, WALTHER
BOSTON, MA 02118
33aNPI1083787212assigned 11/16/2006
28Total paid$107K
24GClaims7,921
24DCodes billed47
24AFirst – last monthAug 2020 – Oct 2023
Compared with peers

Next to other Anatomic Pathology & Clinical Pathology Physician providers in Massachusetts

Rank by total paid#24 of 125
Median peer was paid$22K
This provider vs. median5.0×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20201,502$27K
2021298$9K
2022497$10K
20235,624$61K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 23% 253 221 $24K
80050 General health panel 8.9% 331 328 $10K
80061 Lipid panel 6.5% 637 636 $7K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 6.3% 273 270 $7K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 5.9% 165 164 $6K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 5.8% 159 158 $6K
86480 3.8% 155 152 $4K
84443 Thyroid stimulating hormone (TSH) 3.2% 245 241 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3.0% 512 496 $3K
80053 Comprehensive metabolic panel 3.0% 377 368 $3K
86780 3.0% 278 272 $3K
87522 Neg quan hep c or qual rna 2.9% 80 80 $3K
35 more codes
83036 Hemoglobin; glycosylated (A1C) 2.9% 434 $3K
36415 Collection of venous blood by venipuncture 2.4% 1,458 $3K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 2.3% 122 $2K
86803 2.2% 226 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2.0% 42 $2K
82607 1.7% 147 $2K
80048 Basic metabolic panel (calcium, ionized) 1.4% 217 $1K
86704 1.0% 105 $1K
87086 Culture, bacterial; quantitative colony count, urine <1% 236 $1K
81001 <1% 277 $720.32
86705 <1% 68 $709.64
85027 <1% 125 $672.37
84439 <1% 86 $650.56
86706 <1% 76 $548.78
82728 <1% 45 $513.90
82746 <1% 58 $513.66
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 28 $487.50
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 13 $382.46
84460 <1% 83 $368.75
84450 <1% 82 $355.30
83540 <1% 57 $305.37
80076 <1% 52 $305.06
84075 <1% 67 $291.01
82247 <1% 67 $282.29
84403 <1% 13 $281.45
87340 <1% 26 $234.27
84155 <1% 67 $205.86
82040 <1% 66 $192.87
86618 <1% 12 $169.08
84481 <1% 26 $121.42
82570 <1% 25 $117.18
83550 <1% 12 $87.96
82043 <1% 13 $58.20
82248 <1% 12 $50.52
85652 <1% 13 $29.50

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.