Physician
Steward Medical Group, INC
Steward Medical Group, INC was paid $3.53M by Medicaid between Jan 2018 and Mar 2022, across 77 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.
33Billing provider infoSTEWARD MEDICAL GROUP, INC
BOSTON, MA 02116
BOSTON, MA 02116
33aNPI1255600300assigned 12/19/2011
33bProvider typeCardiovascular Disease Physician
28Total paid$3.53M
24GClaims115,788
24DCodes billed77
24AFirst – last monthJan 2018 – Mar 2022
Compared with peers
Next to other Cardiovascular Disease Physician providers in Massachusetts
Rank by total paid#1 of 321
Median peer was paid$2K
This provider vs. median2,153×
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.
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 | 27,361 | $718K | |
| 2019 | 28,840 | $779K | |
| 2020 | 22,905 | $778K | |
| 2021 | 26,904 | $916K | |
| 2022 | 9,778 | $345K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 52% | 32,446 | 30,888 | $1.84M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 23,651 | 22,754 | $974K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 3.4% | 1,767 | 1,184 | $122K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 2.5% | 1,518 | 809 | $89K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 2.5% | 5,954 | 3,971 | $87K |
| 99490 | Ccm add 20min | 1.4% | 3,762 | 3,749 | $51K |
| 71046 | Radiologic examination, chest; 2 views | 1.0% | 3,384 | 2,181 | $36K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 2,437 | 1,757 | $27K |
| ATP17 | <1% | 2,797 | 2,796 | $27K | |
| ATP14 | <1% | 2,594 | 2,537 | $24K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,233 | 1,223 | $23K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,997 | 2,928 | $18K |
65 more codes
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,106 | $17K |
| 93015 | <1% | 372 | $14K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,248 | $14K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 148 | $14K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 138 | $14K |
| 93000 | <1% | 1,801 | $13K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 560 | $11K |
| 90688 | <1% | 901 | $10K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 740 | $10K |
| 80050 | General health panel | <1% | 581 | $9K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 417 | $7K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 128 | $7K |
| 87081 | <1% | 1,098 | $7K | |
| 93880 | <1% | 162 | $7K | |
| ATP08 | <1% | 891 | $6K | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 59 | $6K |
| 11720 | <1% | 432 | $5K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 440 | $5K |
| 99439 | <1% | 290 | $5K | |
| ATP15 | <1% | 370 | $3K | |
| 11719 | <1% | 496 | $3K | |
| 95886 | <1% | 42 | $2K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 351 | $2K |
| 81001 | <1% | 864 | $2K | |
| 99442 | <1% | 144 | $2K | |
| 80061 | Lipid panel | <1% | 3,351 | $2K |
| ATP11 | <1% | 266 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 25 | $2K |
| ATP03 | <1% | 324 | $2K | |
| 80053 | Comprehensive metabolic panel | <1% | 4,222 | $2K |
| 11721 | <1% | 79 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 24 | $2K |
| 76536 | <1% | 25 | $1K | |
| 77066 | Tomosynthesis, mammo | <1% | 22 | $1K |
| 99443 | <1% | 57 | $1K | |
| 99000 | <1% | 2,133 | $832.74 | |
| 73630 | <1% | 66 | $818.23 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 39 | $791.80 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 893 | $581.90 |
| 77080 | <1% | 43 | $568.62 | |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | <1% | 24 | $537.77 |
| 94760 | <1% | 373 | $520.77 | |
| 99491 | Ccm add 20min | <1% | 13 | $447.11 |
| 73564 | <1% | 21 | $416.41 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 89 | $329.58 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 47 | $270.56 |
| 93225 | <1% | 12 | $194.08 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,862 | $185.73 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 55 | $182.19 |
| 85027 | <1% | 44 | $181.28 | |
| 83721 | <1% | 24 | $152.45 | |
| 86780 | <1% | 13 | $144.84 | |
| 73030 | <1% | 18 | $122.67 | |
| ATP02 | <1% | 31 | $112.77 | |
| G0008 | Administration of influenza virus vaccine | <1% | 64 | $89.58 |
| ATP18 | <1% | 14 | $87.76 | |
| 81025 | <1% | 13 | $84.60 | |
| 83550 | <1% | 12 | $79.70 | |
| 83540 | <1% | 12 | $59.00 | |
| 81003 | <1% | 28 | $53.75 | |
| 99406 | <1% | 42 | $47.42 | |
| 82465 | <1% | 48 | $35.73 | |
| 84460 | <1% | 12 | $17.58 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 17 | $0.00 |
| 90686 | 0% | 12 | $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 officialCALLUM, MICHAEL (CEO)
Parent organizationSTEWARD HEALTHCARE SYSTEM LLC
| Provider | Location | Paid |
|---|---|---|
| Steward Emergency Physicians, INC | Ayer, MA | $58.82M |
| Steward Medical Group, INC | Dartmouth, MA | $34.64M |
| Steward Medical Group, INC | Brighton, MA | $8.35M |
| Steward Medical Group, INC | Brighton, MA | $4.92M |
| Urology Consultants of NS | Salem, MA | $394K |
| Steward Medical Group, INC. | Brighton, MA | $225K |
| Steward Medical Group, INC | Dartmouth, MA | $142K |
| Steward Radiology Physicians of Pennsylvania INC | Sharon, PA | $253.35 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.