Tufts Medical Center INC.

Tufts Medical Center INC. was paid $1.11M by Medicaid between Jan 2018 and Dec 2024, across 132 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 54% of everything it billed.

33Billing provider infoTUFTS MEDICAL CENTER INC.
BOSTON, MA 02111

33aNPI1326088006assigned 06/08/2006

33bProvider typePharmacy

28Total paid$1.11M

24GClaims119,442

24DCodes billed132

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pharmacy providers in Massachusetts

Rank by total paid#1 of 37

Median peer was paid$0.00

This provider vs. median0.0×

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	16,791	$153K
2019	18,198	$153K
2020	9,960	$53K
2021	15,451	$97K
2022	16,396	$180K
2023	25,456	$188K
2024incomplete	17,190	$291K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G0463	Hospital outpatient clinic visit for assessment and management of a patient	54%	41,092	31,130	$602K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	9.8%	1,112	1,072	$109K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	4.9%	3,274	3,235	$55K
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	4.4%	190	190	$49K
45380	Colonoscopy, flexible; with biopsy, single or multiple	2.6%	116	116	$29K
71046	Radiologic examination, chest; 2 views	2.5%	2,080	2,028	$27K
77080		2.0%	516	515	$23K
67028	Intravitreal injection of a pharmacologic agent	1.9%	565	559	$21K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	1.7%	275	275	$19K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	1.5%	334	318	$17K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	1.5%	118	117	$16K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	1.2%	256	239	$13K

120 more codes

97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	1.2%	2,866	$13K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	<1%	540	$11K
71250		<1%	520	$11K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	<1%	75	$10K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	<1%	567	$6K
77067	Screening mammography, bilateral, including computer-aided detection	<1%	450	$5K
74177	Computed tomography, abdomen and pelvis; with contrast material	<1%	114	$5K
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	<1%	127	$5K
80061	Lipid panel	<1%	2,895	$5K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	529	$4K
J0178	Injection, aflibercept, 1 mg	<1%	14	$4K
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	<1%	120	$3K
20610		<1%	138	$3K
76705	Ultrasound, abdominal, real time with image documentation; limited	<1%	179	$3K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	<1%	1,130	$3K
Q3014	Telehealth originating site facility fee	<1%	1,088	$3K
70450	Computed tomography, head or brain; without contrast material	<1%	134	$3K
80053	Comprehensive metabolic panel	<1%	3,073	$3K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	4,909	$2K
G0008	Administration of influenza virus vaccine	<1%	668	$2K
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	<1%	1,116	$2K
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	859	$2K
84443	Thyroid stimulating hormone (TSH)	<1%	1,185	$2K
93017		<1%	121	$1K
83735		<1%	2,676	$1K
83036	Hemoglobin; glycosylated (A1C)	<1%	2,716	$1K
C9803	Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	<1%	264	$1K
92553		<1%	74	$1K
36415	Collection of venous blood by venipuncture	<1%	7,927	$1K
72100		<1%	66	$1K
92083		<1%	959	$955.65
84100		<1%	1,747	$824.76
80048	Basic metabolic panel (calcium, ionized)	<1%	1,836	$801.13
U0005	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2	<1%	251	$800.00
90694		<1%	73	$795.62
90677		<1%	26	$700.44
0002A		<1%	12	$675.80
90653		<1%	64	$657.76
97162		<1%	117	$625.35
82947		<1%	1,474	$623.69
0001A		<1%	18	$609.84
77063	Screening digital breast tomosynthesis, bilateral	<1%	208	$490.10
83970		<1%	343	$417.38
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	57	$410.48
82565		<1%	1,292	$400.40
90662		<1%	93	$398.04
85027		<1%	806	$393.04
83615		<1%	939	$385.87
84460		<1%	1,230	$385.13
84450		<1%	1,225	$376.27
96360	Intravenous infusion, hydration; initial, 31 minutes to 1 hour	<1%	19	$370.72
92557		<1%	147	$370.56
84550		<1%	1,022	$360.26
82570		<1%	1,635	$340.26
80051		<1%	699	$318.20
90686		<1%	201	$317.79
91322		<1%	41	$298.34
76700	Ultrasound, abdominal, real time with image documentation; complete	<1%	38	$294.61
82043		<1%	1,376	$293.00
0004A		<1%	83	$286.38
92134		<1%	1,212	$270.18
96361	Intravenous infusion, hydration; each additional hour	<1%	38	$269.62
0064A		<1%	35	$236.79
84520		<1%	973	$232.89
92133		<1%	1,088	$215.96
73030		<1%	27	$204.76
0134A		<1%	29	$190.92
84075		<1%	662	$185.50
82607		<1%	152	$180.96
84466		<1%	273	$180.06
82247		<1%	629	$174.72
87517		<1%	36	$171.36
0124A		<1%	91	$143.19
81002		<1%	1,399	$142.68
82728		<1%	262	$136.30
83880		<1%	25	$117.78
80069		<1%	516	$115.85
73562		<1%	29	$99.18
84153		<1%	78	$98.32
82248		<1%	174	$91.65
83540		<1%	272	$91.30
93296		<1%	13	$82.32
84156		<1%	658	$80.74
96375	Therapeutic injection; each additional sequential IV push	<1%	33	$50.70
82105		<1%	25	$50.31
G0009	Administration of pneumococcal vaccine	<1%	26	$49.93
81001		<1%	248	$41.56
86140		<1%	174	$31.08
84439		<1%	69	$27.06
90480		<1%	39	$19.02
85652		<1%	172	$13.50
85610		<1%	234	$13.11
85007		<1%	19	$11.40
82948		<1%	397	$10.08
82040		<1%	28	$9.90
81003		<1%	559	$9.76
91300		<1%	80	$0.03
J2704	Injection, propofol, 10 mg	0%	653	$0.00
A9500	Technetium tc-99m sestamibi, diagnostic, per study dose	0%	111	$0.00
88305	Level IV - Surgical pathology, gross and microscopic examination	0%	559	$0.00
J3010	Injection, fentanyl citrate, 0.1 mg	0%	377	$0.00
92567		0%	53	$0.00
87086	Culture, bacterial; quantitative colony count, urine	0%	69	$0.00
A9579	Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml	0%	26	$0.00
92136		0%	50	$0.00
A9585	Injection, gadobutrol, 0.1 ml	0%	26	$0.00
73564		0%	12	$0.00
J0690	Injection, cefazolin sodium, 500 mg	0%	13	$0.00
J2250	Injection, midazolam hydrochloride, per 1 mg	0%	14	$0.00
0241U	Neonatal screening for hereditary disorders, genomic sequence analysis panel	0%	13	$0.00
A9575	Injection, gadoterate meglumine, 0.1 ml	0%	286	$0.00
J7120	Ringers lactate infusion, up to 1000 cc	0%	204	$0.00
J7030	Infusion, normal saline solution , 1000 cc	0%	324	$0.00
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	0%	556	$0.00
91312		0%	55	$0.00
92015	Determination of refractive state	0%	38	$0.00
92555		0%	42	$0.00
J2405	Injection, ondansetron hydrochloride, per 1 mg	0%	39	$0.00
0690T		0%	35	$0.00
91313		0%	14	$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 officialTHOMASSET, KEITH (SVP AND CPO)