BAYSTATE MEDICAL PRACTICES, INC
NPI: 1093871261
· SPRINGFIELD, MA 01199
· Child & Adolescent Psychiatry Physician
· NPI assigned 12/29/2006
$166K
Total Medicaid Paid
Provider Details
| Authorized Official | VAILL, RANDALL (MANAGER PROVIDER ENROLLMENT) |
| Parent Organization | BAYSTATE MEDICAL PRACTICES, INC |
| NPI Enumeration Date | 12/29/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
193 |
$19K |
| 2019 |
270 |
$22K |
| 2020 |
88 |
$11K |
| 2021 |
193 |
$24K |
| 2022 |
94 |
$10K |
| 2023 |
200 |
$27K |
| 2024 |
401 |
$52K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,107 |
1,074 |
$111K |
| 99215 |
Prolong outpt/office vis |
116 |
113 |
$16K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
77 |
67 |
$16K |
| 99255 |
|
45 |
44 |
$11K |
| 90887 |
|
25 |
25 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
56 |
55 |
$4K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
13 |
13 |
$2K |