Medicaid Provider Spending

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

PRATT PSYCHIATRIC ASSOCIATES, INC

NPI: 1245270875 · BOSTON, MA 02111 · Psychiatry Physician · NPI assigned 06/08/2006

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

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

$346K
Total Medicaid Paid
5,826
Total Claims
3,550
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGALLEGOS, EDWARD (DIRECTOR)
NPI Enumeration Date06/08/2006

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 NEUROLOGY ASSOCIATES, INC BOSTON MA $279K
PRATT MEDICAL GROUP, INC BOSTON MA $269K
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 319 $5K
2019 969 $32K
2020 618 $35K
2021 566 $21K
2022 662 $26K
2023 1,332 $97K
2024 1,360 $130K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 3,149 1,150 $181K
99223 Prolong inpt eval add15 m 804 765 $83K
90792 Psychiatric diagnostic evaluation with medical services 658 612 $46K
99255 77 69 $13K
99232 Subsequent hospital care, per day, moderate complexity 182 109 $7K
99254 27 26 $4K
99215 Prolong outpt/office vis 231 212 $3K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 26 25 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 60 60 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 36 33 $1K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 231 195 $1K
90836 223 191 $796.22
99221 12 12 $624.22
99231 Subsequent hospital care, per day, straightforward or low complexity 25 12 $474.70
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 52 51 $240.03
90785 33 28 $22.05