Beth Israel Lahey Health Specialty Care, INC.
Beth Israel Lahey Health Specialty Care, INC. was paid $4.68M by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is 99284, emergency room visit (serious) — 37% of everything it billed.
33Billing provider infoBETH ISRAEL LAHEY HEALTH SPECIALTY CARE, INC.
GLOUCESTER, MA 01930
GLOUCESTER, MA 01930
33aNPI1235147760assigned 08/03/2006
33bProvider typeCardiac Rehabilitation Registered Nurse
28Total paid$4.68M
24GClaims113,806
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2024
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 | 9,873 | $569K | |
| 2019 | 9,907 | $481K | |
| 2020 | 8,993 | $425K | |
| 2021 | 19,118 | $636K | |
| 2022 | 19,203 | $746K | |
| 2023 | 26,176 | $998K | |
| 2024incomplete | 20,536 | $826K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 37% | 25,329 | 25,101 | $1.72M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 23% | 14,283 | 14,153 | $1.07M |
| 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 | 13% | 17,522 | 16,695 | $629K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 8.2% | 9,761 | 9,684 | $385K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.9% | 9,563 | 9,030 | $274K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 3.2% | 70 | 70 | $148K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.6% | 7,858 | 2,751 | $73K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.5% | 15,982 | 11,514 | $72K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.2% | 1,007 | 987 | $58K |
| 99221 | <1% | 786 | 778 | $42K | |
| 59426 | <1% | 43 | 43 | $31K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 1,094 | 1,090 | $29K |
36 more codes
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 641 | $28K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 639 | $21K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 928 | $14K |
| 59430 | <1% | 84 | $14K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 432 | $10K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 183 | $9K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 98 | $8K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 191 | $7K |
| 93000 | <1% | 960 | $5K | |
| 99443 | <1% | 472 | $5K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,327 | $5K |
| 99223 | Prolong inpt eval add15 m | <1% | 54 | $4K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 33 | $3K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 40 | $3K |
| 99442 | <1% | 220 | $3K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 206 | $2K |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 1,162 | $2K |
| 90961 | <1% | 36 | $2K | |
| 51798 | <1% | 300 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 120 | $2K |
| 81025 | <1% | 207 | $1K | |
| 59025 | Fetal non-stress test | <1% | 51 | $1K |
| 93016 | <1% | 133 | $1K | |
| 90686 | <1% | 69 | $1K | |
| 93018 | <1% | 133 | $784.57 | |
| 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% | 147 | $507.24 |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 35 | $455.16 |
| 81002 | <1% | 241 | $454.72 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 39 | $198.00 |
| 90656 | <1% | 15 | $159.21 | |
| 92551 | <1% | 13 | $115.62 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 170 | $28.12 |
| 94760 | <1% | 28 | $4.34 | |
| 96127 | <1% | 37 | $0.99 | |
| G0008 | Administration of influenza virus vaccine | 0% | 49 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 15 | $0.00 |
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 officialBARKER, ALEX (PRESIDENT)
Parent organizationBETH ISRAEL LAHEY HEALTH INC
| Provider | Location | Paid |
|---|---|---|
| Beth Israel Lahey Health Primary Care, INC. | Beverly, MA | $469K |
| Beth Israel Lahey Health Primary Care, INC. | Gloucester, MA | $276K |
| Beth Israel Lahey Health Primary Care, INC. | Danvers, MA | $202K |
| Beth Israel Lahey Health Primary Care, INC. | Haverhill, MA | $84K |
| Beth Israel Lahey Health Primary Care, INC. | Lynnfield, MA | $45K |
| Beth Israel Lahey Health Primary Care, INC. | Lynnfield, MA | $20K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.