Mass General Brigham Medical Group Western Massachusetts INC

Mass General Brigham Medical Group Western Massachusetts INC was paid $7.99M by Medicaid between Jan 2018 and Dec 2024, across 128 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.

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	20,599	$859K
2019	23,528	$1.01M
2020	19,175	$909K
2021	32,828	$1.43M
2022	36,644	$1.51M
2023	40,662	$1.31M
2024incomplete	29,753	$955K

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	31%	54,049	51,114	$2.44M
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	19%	24,488	23,802	$1.52M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	17%	34,496	32,817	$1.35M
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	8.2%	8,848	8,444	$658K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	2.2%	5,121	4,992	$176K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.0%	2,657	2,640	$161K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	1.7%	1,533	1,522	$133K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	1.6%	3,320	2,667	$130K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	1.3%	1,889	1,818	$101K
76830	Ultrasound, transvaginal	1.2%	1,893	1,209	$94K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	1.1%	3,879	2,025	$92K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	1.1%	2,658	1,372	$90K

116 more codes

99223	Prolong inpt eval add15 m	1.1%	1,303	$89K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	<1%	1,828	$79K
77067	Screening mammography, bilateral, including computer-aided detection	<1%	2,230	$58K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	13,975	$52K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	429	$34K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	<1%	854	$34K
0002A		<1%	982	$33K
0001A		<1%	1,003	$32K
77063	Screening digital breast tomosynthesis, bilateral	<1%	2,216	$31K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	1,412	$29K
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	<1%	281	$28K
87637	Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV	<1%	206	$28K
20610		<1%	1,093	$25K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	2,294	$23K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	961	$22K
76819	Fetal biophysical profile; without non-stress testing	<1%	436	$21K
99239	Hospital discharge day management, more than 30 minutes	<1%	601	$21K
87428		<1%	341	$20K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	1,211	$19K
99205	Prolong outpt/office vis	<1%	190	$17K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	<1%	251	$17K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	332	$17K
A9500	Technetium tc-99m sestamibi, diagnostic, per study dose	<1%	211	$16K
G0108	Diabetes outpatient self-management training services, individual, per 30 minutes	<1%	262	$14K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	<1%	156	$14K
74177	Computed tomography, abdomen and pelvis; with contrast material	<1%	309	$14K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	161	$13K
70553	Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences	<1%	208	$11K
93015		<1%	341	$11K
71046	Radiologic examination, chest; 2 views	<1%	2,072	$11K
71045	Radiologic examination, chest; single view	<1%	2,467	$10K
90686		<1%	1,385	$10K
95251		<1%	696	$9K
92558		<1%	732	$9K
H2015	Community support for mental illness or disability, per 15 minutes	<1%	76	$9K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	<1%	156	$8K
92587		<1%	909	$8K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	1,144	$7K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	<1%	108	$7K
93000		<1%	1,016	$7K
27096		<1%	81	$7K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	494	$6K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	214	$6K
90682		<1%	171	$6K
70551	Magnetic resonance imaging, brain; without contrast material	<1%	165	$6K
83036	Hemoglobin; glycosylated (A1C)	<1%	1,327	$6K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	243	$6K
A0429	Emergency ambulance ride, basic life support	<1%	22	$6K
J1030	Injection, methylprednisolone acetate, 40 mg	<1%	987	$5K
78451		<1%	46	$5K
90461		<1%	263	$5K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	<1%	108	$5K
99443		<1%	444	$4K
97803		<1%	106	$4K
99238	Hospital discharge day management, 30 minutes or less	<1%	64	$3K
76705	Ultrasound, abdominal, real time with image documentation; limited	<1%	209	$3K
70450	Computed tomography, head or brain; without contrast material	<1%	202	$3K
A0425	Ground mileage, per statute mile	<1%	120	$2K
99177		<1%	1,261	$2K
99222	Initial hospital care, per day, moderate complexity	<1%	37	$2K
99462		<1%	34	$1K
0004A		<1%	69	$1K
94060		<1%	245	$1K
98926		<1%	76	$1K
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%	530	$1K
76801		<1%	27	$1K
90480		<1%	29	$1K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	28	$1K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	12	$1K
99460		<1%	12	$1K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	13	$1K
0054A		<1%	26	$970.16
0064A		<1%	32	$963.27
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	126	$895.97
76642		<1%	40	$893.10
71260	Computed tomography, thorax, diagnostic; with contrast material	<1%	37	$875.73
99220		<1%	16	$872.41
94729		<1%	234	$867.47
74183		<1%	29	$864.09
99358	Prolong nursin fac eval 15m	<1%	89	$846.59
93296		<1%	65	$735.08
76536		<1%	41	$705.26
0071A		<1%	15	$688.05
93226		<1%	38	$616.03
99442		<1%	162	$603.91
93227		<1%	50	$552.89
71250		<1%	14	$539.94
73564		<1%	69	$518.25
0031A		<1%	50	$511.02
90688		<1%	52	$474.48
94726		<1%	75	$410.34
77066	Tomosynthesis, mammo	<1%	12	$403.50
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	27	$381.16
72125	Computed tomography, cervical spine; without contrast material	<1%	12	$270.60
99173		<1%	28	$172.51
93971		<1%	18	$147.22
20552		<1%	12	$131.55
G0008	Administration of influenza virus vaccine	<1%	195	$123.85
99152		<1%	37	$80.91
73610		<1%	12	$71.79
77080		<1%	37	$61.88
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	522	$47.56
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	42	$40.09
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	<1%	12	$39.62
99000		<1%	64	$26.00
99406		<1%	12	$15.09
91307		0%	15	$0.00
91306		0%	32	$0.00
36416		0%	48	$0.00
91305		0%	21	$0.00
90680		0%	24	$0.00
91300		0%	1,371	$0.00
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	0%	13	$0.00
90670		0%	31	$0.00
90685		0%	12	$0.00
90648		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 officialGAINER, LINDSAY (PRESIDENT & COO)

Same official

Other billing entities under GAINER, LINDSAY

Full network →

Provider	Location	Paid
Mass General Brigham Medical Group Northern Massachusetts INC	Salem, MA	$30.22M
Merrimack Valley Endoscopy, LLC	Haverhill, MA	$2.61M
Mass General Brigham Medical Group Suburban Massachusetts INC	Newton, MA	$892K
Mass General Brigham Medical Group Western Massachusetts INC	Northampton, MA	$20K

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