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

Baystate Medical Center INC

Baystate Medical Center INC was paid $1.44M by Medicaid between Jan 2018 and Feb 2020, across 175 billing codes. Its largest line is S9342, Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem — 12% of everything it billed.

33Billing provider infoBAYSTATE MEDICAL CENTER INC
SPRINGFIELD, MA 01104
33aNPI1295736098assigned 08/03/2005
28Total paid$1.44M
24GClaims24,708
24DCodes billed175
24AFirst – last monthJan 2018 – Feb 2020
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
201812,901$1.10M
20199,662$169K
20202,145$171K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S9342 Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem 12% 689 485 $172K
B4161 Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 11% 438 414 $152K
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 6.0% 957 946 $87K
B4160 Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 3.6% 642 596 $52K
E0601 Continuous positive airway pressure (cpap) device 3.1% 899 897 $44K
S9500 Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem 3.0% 193 71 $44K
B4149 Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 3.0% 132 116 $43K
E0603 Breast pump, electric (ac and/or dc), any type 2.6% 175 175 $37K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 2.5% 227 221 $36K
B4088 Gastrostomy/jejunostomy tube, low-profile, any material, any type, each 2.4% 264 226 $35K
H0035 Mental health partial hospitalization, treatment, less than 24 hours 2.4% 118 17 $34K
A7030 Full face mask used with positive airway pressure device, each 2.3% 328 326 $33K
163 more codes
B4150 Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 2.3% 274 $33K
E0465 Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) 1.9% 65 $28K
S9374 Home infusion therapy, hydration therapy; one liter per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem 1.9% 184 $27K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1.8% 430 $26K
E0570 Nebulizer, with compressor 1.8% 322 $25K
E0471 Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) 1.7% 112 $24K
B4152 Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 1.5% 203 $22K
S9343 Home therapy; enteral nutrition via bolus; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem 1.5% 103 $22K
87631 1.5% 196 $22K
99284 Emergency room visit (serious) 1.5% 120 $22K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1.4% 125 $20K
E0470 Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) 1.2% 176 $18K
K0738 Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing 1.2% 678 $18K
E0562 Humidifier, heated, used with positive airway pressure device 1.2% 544 $18K
A7034 Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap 1.1% 242 $16K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1.0% 217 $15K
86803 <1% 83 $9K
B4153 Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit <1% 28 $9K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 428 $9K
B4155 Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit <1% 88 $9K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 25 $8K
83655 <1% 422 $8K
A7035 Headgear used with positive airway pressure device <1% 401 $8K
A7037 Tubing used with positive airway pressure device <1% 361 $8K
A4604 Tubing with integrated heating element for use with positive airway pressure device <1% 208 $8K
S9501 Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 12 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem <1% 26 $7K
B4158 Enteral formula, for pediatrics, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an enteral feeding tube, 100 calories = 1 unit <1% 36 $7K
T4530 Pediatric sized disposable incontinence product, brief/diaper, large size, each <1% 64 $7K
86780 <1% 94 $7K
T4541 Incontinence product, disposable underpad, large, each <1% 135 $7K
86140 <1% 129 $7K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 69 $7K
T4523 Adult sized disposable incontinence product, brief/diaper, large, each <1% 48 $6K
A7005 Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable <1% 271 $6K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 46 $6K
A4624 Tracheal suction catheter, any type other than closed system, each <1% 84 $6K
B4154 Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit <1% 92 $5K
99601 <1% 62 $5K
A7031 Face mask interface, replacement for full face mask, each <1% 179 $5K
T4521 Adult sized disposable incontinence product, brief/diaper, small, each <1% 49 $5K
83516 <1% 74 $4K
86003 <1% 60 $4K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 114 $4K
83036 Hemoglobin; glycosylated (A1C) <1% 182 $4K
84443 Thyroid stimulating hormone (TSH) <1% 373 $4K
99285 Emergency room visit (most serious) <1% 22 $4K
T4522 Adult sized disposable incontinence product, brief/diaper, medium, each <1% 34 $4K
A7032 Cushion for use on nasal mask interface, replacement only, each <1% 83 $4K
83718 <1% 123 $4K
87081 <1% 522 $4K
84439 <1% 247 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 533 $4K
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape <1% 80 $4K
A7520 Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each <1% 78 $3K
83550 <1% 95 $3K
G0378 Hospital observation service, per hour <1% 20 $3K
82728 <1% 131 $3K
A7038 Filter, disposable, used with positive airway pressure device <1% 588 $3K
A7046 Water chamber for humidifier, used with positive airway pressure device, replacement, each <1% 262 $3K
87480 <1% 53 $3K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 46 $3K
76770 <1% 12 $3K
80061 Lipid panel <1% 247 $2K
A7526 Tracheostomy tube collar/holder, each <1% 87 $2K
A4629 Tracheostomy care kit for established tracheostomy <1% 55 $2K
87086 Culture, bacterial; quantitative colony count, urine <1% 315 $2K
K0003 Lightweight wheelchair <1% 33 $2K
A7033 Pillow for use on nasal cannula type interface, replacement only, pair <1% 73 $2K
A4217 Sterile water/saline, 500 ml <1% 92 $2K
87340 <1% 48 $2K
A4628 Oral and/or oropharyngeal suction catheter, each <1% 209 $2K
82784 <1% 68 $2K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 12 $2K
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing <1% 114 $2K
85027 <1% 252 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 19 $2K
86618 <1% 15 $2K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 79 $2K
80053 Comprehensive metabolic panel <1% 208 $2K
83540 <1% 106 $1K
71046 Radiologic examination, chest; 2 views <1% 52 $1K
82465 <1% 122 $1K
S9490 Home infusion therapy, corticosteroid infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem <1% 12 $1K
86664 <1% 13 $1K
E0600 Respiratory suction pump, home model, portable or stationary, electric <1% 59 $1K
B4034 Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape <1% 48 $1K
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each <1% 15 $1K
A4927 Gloves, non-sterile, per 100 <1% 156 $1K
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 81 $1K
82607 <1% 99 $1K
E0445 Oximeter device for measuring blood oxygen levels non-invasively <1% 13 $1K
87147 <1% 180 $1K
86317 <1% 16 $1K
82947 <1% 135 $1K
82785 <1% 32 $1K
81001 <1% 282 $1K
80050 General health panel <1% 113 $978.10
A7000 Canister, disposable, used with suction pump, each <1% 215 $974.91
80051 <1% 110 $973.66
K0001 Standard wheelchair <1% 25 $953.87
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 48 $855.99
80048 Basic metabolic panel (calcium, ionized) <1% 109 $855.00
84450 <1% 124 $844.30
87510 <1% 53 $832.70
84460 <1% 137 $732.70
86665 <1% 13 $717.70
86850 <1% 12 $699.50
82565 <1% 157 $662.38
82570 <1% 82 $647.74
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 48 $636.96
87186 <1% 97 $635.52
82746 <1% 23 $626.11
85652 <1% 141 $617.04
80076 <1% 72 $601.10
84520 <1% 121 $566.20
87660 <1% 53 $558.22
87088 <1% 119 $531.08
A7002 Tubing, used with suction pump, each <1% 235 $471.05
85018 <1% 66 $447.76
87205 <1% 56 $397.45
87077 <1% 104 $373.68
84153 <1% 12 $352.12
84146 <1% 13 $299.82
87070 <1% 65 $290.60
82248 <1% 42 $280.57
A7012 Water collection device, used with large volume nebulizer <1% 50 $277.84
83721 <1% 17 $261.83
A7015 Aerosol mask, used with dme nebulizer <1% 192 $259.73
84156 <1% 28 $245.98
A7010 Corrugated tubing, disposable, used with large volume nebulizer, 100 feet <1% 12 $238.88
84403 <1% 15 $222.60
83735 <1% 30 $218.69
82040 <1% 15 $216.66
84702 <1% 15 $213.22
82043 <1% 53 $189.49
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable <1% 106 $170.50
83690 <1% 12 $163.90
80069 <1% 15 $130.48
84100 <1% 12 $112.61
A7036 Chinstrap used with positive airway pressure device <1% 13 $107.09
87206 <1% 16 $96.85
81025 <1% 14 $89.04
86900 <1% 12 $67.86
A7525 Tracheostomy mask, each <1% 56 $65.43
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 50 $56.24
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 40 $56.24
85610 <1% 17 $55.90
A7013 Filter, disposable, used with aerosol compressor or ultrasonic generator <1% 73 $50.58
85045 <1% 13 $45.64
86901 <1% 12 $37.06
82247 <1% 41 $16.14
96375 Therapeutic injection; each additional sequential IV push 0% 17 $0.00
36415 Collection of venous blood by venipuncture 0% 1,336 $0.00
88305 Level IV - Surgical pathology, gross and microscopic examination 0% 19 $0.00
36416 0% 215 $0.00
J2704 Injection, propofol, 10 mg 0% 33 $0.00
J0690 Injection, cefazolin sodium, 500 mg 0% 17 $0.00
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 0% 20 $0.00
82962 0% 18 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 0% 20 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 0% 22 $0.00
J1170 Injection, hydromorphone, up to 4 mg 0% 22 $0.00
84075 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 officialCHALKE, DENNIS (SR VP, CFO & TREAS, BAYSTATE HEALTH)
Same official

Other billing entities under CHALKE, DENNIS

Full network →
ProviderLocationPaid
Baystate Medical Center INC.Greenfield, MA$34K
Baystate Medical Center, INC.Ware, MA$3K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.