Physician
Pratt Medical Group, INC
Pratt Medical Group, INC was paid $269K by Medicaid between Jan 2018 and Oct 2024, across 13 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 31% of everything it billed.
33Billing provider infoPRATT MEDICAL GROUP, INC
BOSTON, MA 02111
BOSTON, MA 02111
33aNPI1164743209assigned 06/11/2010
33bProvider typeNephrology Physician
28Total paid$269K
24GClaims10,404
24DCodes billed13
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Nephrology Physician providers in Massachusetts
Rank by total paid#14 of 46
Median peer was paid$28K
This provider vs. median9.6×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,638 | $44K | |
| 2019 | 1,972 | $54K | |
| 2020 | 1,801 | $50K | |
| 2021 | 1,897 | $46K | |
| 2022 | 1,426 | $27K | |
| 2023 | 841 | $26K | |
| 2024incomplete | 829 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 31% | 4,376 | 1,997 | $83K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 25% | 1,676 | 1,671 | $68K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 18% | 1,874 | 1,744 | $47K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 14% | 1,184 | 442 | $37K |
| 99222 | Initial hospital care, per day, moderate complexity | 4.6% | 343 | 331 | $12K |
| 99238 | Hospital discharge day management, 30 minutes or less | 3.2% | 413 | 398 | $9K |
| 90961 | 2.0% | 148 | 148 | $5K | |
| 99223 | Prolong inpt eval add15 m | 1.7% | 97 | 96 | $5K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 98 | 55 | $1K |
| 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) | <1% | 150 | 147 | $651.07 |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 18 | 17 | $326.10 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 14 | 14 | $313.20 |
1 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $92.55 |
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)
| Provider | Location | 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 | $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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.