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
SPRINGFIELD, MA 01104
33aNPI1295736098assigned 08/03/2005
33bProvider typeHome Infusion Therapy Pharmacy
28Total paid$1.44M
24GClaims24,708
24DCodes billed175
24AFirst – last monthJan 2018 – Feb 2020
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 | 12,901 | $1.10M | |
| 2019 | 9,662 | $169K | |
| 2020 | 2,145 | $171K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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)
| Provider | Location | Paid |
|---|---|---|
| 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.