Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PRATT OB/GYN ASSOCIATES, INC

NPI: 1336186501 · BOSTON, MA 02111 · Maternal & Fetal Medicine Physician · NPI assigned 05/31/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GALLEGOS, EDWARD controls 20+ related entities in our dataset. Read more

$2.62M
Total Medicaid Paid
67,875
Total Claims
60,511
Beneficiaries
31
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGALLEGOS, EDWARD (DIRECTOR)
NPI Enumeration Date05/31/2006

Related Entities

Other providers sharing the same authorized official: GALLEGOS, EDWARD

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 12,226 $437K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 9,433 9,377 $693K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 17,719 15,830 $583K
76819 Fetal biophysical profile; without non-stress testing 15,986 13,001 $477K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 6,164 6,012 $241K
76801 3,160 3,054 $120K
59025 Fetal non-stress test 3,355 2,191 $100K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,735 1,729 $75K
76813 1,624 1,600 $74K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,773 1,699 $59K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,271 2,050 $58K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,963 1,590 $48K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 259 258 $14K
99232 Subsequent hospital care, per day, moderate complexity 254 181 $14K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 163 163 $12K
76820 537 346 $10K
99201 369 369 $7K
76830 Ultrasound, transvaginal 290 288 $7K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 130 126 $7K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 278 276 $7K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 38 38 $3K
99223 Prolong inpt eval add15 m 15 15 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 74 41 $2K
99205 Prolong outpt/office vis 12 12 $2K
99459 92 90 $2K
76818 36 31 $1K
99239 Hospital discharge day management, more than 30 minutes 19 18 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 53 53 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12 12 $828.36
99385 12 12 $775.68
S3005 Performance measurement, evaluation of patient self assessment, depression 37 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) 12 12 $27.00