Medicaid Provider Spending

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

PRATT MEDICAL GROUP, INC

NPI: 1104146992 · BOSTON, MA 02111 · Endocrinology, Diabetes & Metabolism Physician · NPI assigned 06/03/2010

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

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

$247K
Total Medicaid Paid
9,282
Total Claims
7,424
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialGALLEGOS, EDWARD (DIRECTOR)
NPI Enumeration Date06/03/2010

Related Entities

Other providers sharing the same authorized official: GALLEGOS, EDWARD

ProviderCityStateTotal Paid
PRATT PEDIATRIC ASSOCIATES INC BOSTON MA $7.66M
PRATT OPHTHALMOLOGY ASSOCIATES INC BOSTON MA $2.95M
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 $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 829 $27K
2019 1,026 $27K
2020 999 $32K
2021 1,213 $36K
2022 1,609 $44K
2023 2,180 $54K
2024 1,426 $27K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,695 4,610 $152K
99232 Subsequent hospital care, per day, moderate complexity 2,541 938 $45K
99222 Initial hospital care, per day, moderate complexity 731 694 $22K
99215 Prolong outpt/office vis 324 316 $16K
99223 Prolong inpt eval add15 m 82 81 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity 207 96 $3K
95251 187 182 $2K
99443 107 103 $2K
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) 346 344 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17 15 $329.18
83036 Hemoglobin; glycosylated (A1C) 45 45 $276.60