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

Pratt Radiology Associates, INC

Pratt Radiology Associates, INC was paid $1.58M by Medicaid between Jan 2018 and Jan 2023, across 63 billing codes. Its largest line is 71045, Radiologic examination, chest; single view — 14% of everything it billed.

33Billing provider infoPRATT RADIOLOGY ASSOCIATES, INC
BOSTON, MA 02111
33aNPI1154361780assigned 06/08/2006
28Total paid$1.58M
24GClaims137,574
24DCodes billed63
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers

Next to other Diagnostic Radiology Physician providers in Massachusetts

Rank by total paid#8 of 427
Median peer was paid$3K
This provider vs. median528×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official GALLEGOS, EDWARD controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
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
201826,404$298K
201926,661$295K
202025,525$300K
202130,258$348K
202226,385$308K
20232,341$29K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
71045 Radiologic examination, chest; single view 14% 50,371 28,935 $226K
70450 Computed tomography, head or brain; without contrast material 13% 11,248 10,265 $207K
74177 Computed tomography, abdomen and pelvis; with contrast material 11% 4,403 4,322 $180K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 9.2% 2,734 2,662 $145K
71046 Radiologic examination, chest; 2 views 7.1% 20,224 19,744 $112K
77067 Screening mammography, bilateral, including computer-aided detection 6.1% 4,133 4,128 $97K
72125 Computed tomography, cervical spine; without contrast material 5.3% 3,323 3,246 $83K
70551 Magnetic resonance imaging, brain; without contrast material 4.7% 2,057 2,007 $75K
71250 2.9% 2,288 2,261 $46K
74018 2.6% 8,265 5,366 $41K
76770 2.4% 1,724 1,710 $38K
76700 Ultrasound, abdominal, real time with image documentation; complete 2.4% 1,965 1,950 $37K
51 more codes
71260 Computed tomography, thorax, diagnostic; with contrast material 2.0% 1,194 $31K
71275 Computed tomographic angiography, chest, with contrast material 1.9% 757 $30K
76830 Ultrasound, transvaginal 1.6% 1,126 $25K
76705 Ultrasound, abdominal, real time with image documentation; limited 1.1% 1,150 $17K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1.0% 775 $16K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 452 $14K
76642 <1% 559 $10K
73564 <1% 1,382 $9K
76506 <1% 333 $8K
73030 <1% 1,856 $8K
73610 <1% 1,528 $8K
70496 <1% 258 $8K
74183 <1% 160 $7K
77080 <1% 2,233 $7K
73630 <1% 1,371 $7K
78815 Positron emission tomography (PET) for limited area imaging <1% 176 $7K
72170 <1% 1,202 $6K
72082 <1% 458 $6K
73130 <1% 972 $6K
70498 <1% 191 $5K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 168 $5K
73560 <1% 1,127 $5K
73502 <1% 1,001 $4K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 127 $4K
72081 <1% 415 $4K
76536 <1% 282 $4K
73110 <1% 750 $4K
73562 <1% 636 $3K
93975 <1% 75 $3K
70486 <1% 140 $3K
72100 <1% 523 $2K
72141 <1% 63 $2K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 77 $2K
71271 <1% 73 $2K
73080 <1% 242 $1K
77065 Tomosynthesis, mammo <1% 67 $1K
93976 <1% 49 $1K
77066 Tomosynthesis, mammo <1% 41 $952.31
70544 <1% 42 $941.22
99152 <1% 237 $900.08
70491 <1% 27 $806.46
73590 <1% 192 $794.95
73552 <1% 101 $468.43
99153 Mod sedat endo service >5yrs <1% 68 $256.00
76881 <1% 17 $244.20
73521 <1% 29 $235.50
73522 <1% 29 $182.84
72050 <1% 26 $129.27
73565 <1% 43 $116.16
72040 <1% 24 $115.31
74019 <1% 15 $52.82

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 officialGALLEGOS, EDWARD (DIRECTOR)
Same official

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