Physician
Pratt Ob/Gyn Associates, INC
Pratt Ob/Gyn Associates, INC was paid $2.62M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 76811, Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed — 26% of everything it billed.
33Billing provider infoPRATT OB/GYN ASSOCIATES, INC
BOSTON, MA 02111
BOSTON, MA 02111
33aNPI1336186501assigned 05/31/2006
33bProvider typeMaternal & Fetal Medicine Physician
28Total paid$2.62M
24GClaims67,875
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Maternal & Fetal Medicine Physician providers in Massachusetts
Rank by total paid#1 of 27
Median peer was paid$33K
This provider vs. median80×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official GALLEGOS, EDWARD controls 20+ related entities in our dataset. Read more
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 | 6,746 | $294K | |
| 2019 | 9,163 | $375K | |
| 2020 | 8,673 | $355K | |
| 2021 | 9,022 | $345K | |
| 2022 | 9,902 | $382K | |
| 2023 | 12,143 | $433K | |
| 2024incomplete | 12,226 | $437K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 26% | 9,433 | 9,377 | $693K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 22% | 17,719 | 15,830 | $583K |
| 76819 | Fetal biophysical profile; without non-stress testing | 18% | 15,986 | 13,001 | $477K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 9.2% | 6,164 | 6,012 | $241K |
| 76801 | 4.6% | 3,160 | 3,054 | $120K | |
| 59025 | Fetal non-stress test | 3.8% | 3,355 | 2,191 | $100K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.9% | 1,735 | 1,729 | $75K |
| 76813 | 2.8% | 1,624 | 1,600 | $74K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.3% | 1,773 | 1,699 | $59K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 2.2% | 2,271 | 2,050 | $58K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 1.8% | 1,963 | 1,590 | $48K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 259 | 258 | $14K |
19 more codes
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 254 | $14K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 163 | $12K |
| 76820 | <1% | 537 | $10K | |
| 99201 | <1% | 369 | $7K | |
| 76830 | Ultrasound, transvaginal | <1% | 290 | $7K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 130 | $7K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 278 | $7K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 38 | $3K |
| 99223 | Prolong inpt eval add15 m | <1% | 15 | $2K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 74 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 12 | $2K |
| 99459 | <1% | 92 | $2K | |
| 76818 | <1% | 36 | $1K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 19 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 53 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $828.36 |
| 99385 | <1% | 12 | $775.68 | |
| S3005 | Performance measurement, evaluation of patient self assessment, depression | <1% | 37 | $381.02 |
| 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% | 12 | $27.00 |
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 officialGALLEGOS, EDWARD (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Pratt Pediatric Associates INC | Boston, MA | $7.66M |
| Pratt Ophthalmology Associates INC | Boston, MA | $2.95M |
| Pratt Medical Group, INC | Boston, MA | $2.18M |
| Pratt Radiology Associates, INC | Boston, MA | $1.58M |
| Pratt Pathology Associates, INC | Boston, MA | $1.47M |
| Pratt Med/Surg Dermatology Associates INC | Boston, MA | $851K |
| Cardiovascular Center at Tufts Medical Center, INC. | Boston, MA | $721K |
| Pratt Medical Group, INC | Boston, MA | $705K |
| Pratt Orthopaedic Associates, INC | Boston, MA | $566K |
| Pratt Otolaryngology- Head & Neck Surgery Associates INC | Boston, MA | $536K |
| Pratt Psychiatric Associates, INC | Boston, MA | $346K |
| Pratt Neurology Associates, INC | Boston, MA | $279K |
| Pratt Medical Group, INC | Boston, MA | $269K |
| Pratt Medical Group, INC | Boston, MA | $247K |
| Pratt Medical Group, INC | Boston, MA | $240K |
| Pratt Urology Associates, INC | Boston, MA | $204K |
| Pratt Anesthesiology Associates, INC | Boston, MA | $197K |
| Pratt Medical Group, INC | Boston, MA | $141K |
| Pratt Medical Group, INC | Boston, MA | $127K |
| Pratt Surgical Associates INC | Boston, MA | $123K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.