Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › ROSLINDALE › BOSTON MEDICAL CENTER CORPORATION

BOSTON MEDICAL CENTER CORPORATION

NPI: 1386718823 · ROSLINDALE, MA 02131 · Community Health Clinic/Center · NPI assigned 11/17/2006

$9.88M
Total Medicaid Paid
268,793
Total Claims
243,056
Beneficiaries
243
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialNEWSOM, TERESA (SVP, CFO)
Parent OrganizationBOSTON MEDICAL CENTER CORPORATION
NPI Enumeration Date11/17/2006

Related Entities

Other providers sharing the same authorized official: NEWSOM, TERESA

ProviderCityStateTotal Paid
GREENVILLE HEALTH SYSTEM SIMPSONVILLE SC $29K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 28,859 $1.04M
2019 25,008 $977K
2020 41,121 $1.97M
2021 40,670 $1.76M
2022 43,616 $2.21M
2023 46,325 $1.18M
2024 43,194 $750K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 48,024 43,626 $2.97M
T1015 Clinic visit/encounter, all-inclusive 8,160 7,582 $1.25M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16,705 15,532 $1.19M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,598 2,593 $233K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,228 2,221 $201K
D9450 16,814 9,973 $176K
D1110 Prophylaxis - adult 5,384 4,040 $167K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,491 1,393 $157K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,456 1,344 $146K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 6,897 5,676 $143K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,649 1,642 $136K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,759 1,756 $135K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12,207 11,821 $133K
99215 Prolong outpt/office vis 1,060 1,005 $123K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 4,334 4,208 $115K
90834 Psychotherapy, 45 minutes with patient 1,317 924 $113K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,384 1,378 $111K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 4,254 4,133 $109K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 969 934 $88K
87481 1,419 1,372 $84K
99283 Emergency department visit for the evaluation and management, moderate severity 473 436 $81K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 1,139 1,069 $75K
D0120 Periodic oral evaluation - established patient 4,482 3,474 $70K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 4,024 3,940 $65K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,178 832 $61K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 301 272 $56K
D0274 Bitewings - four radiographic images 2,261 1,784 $55K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4,475 4,452 $55K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,935 1,870 $50K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 1,702 1,662 $49K
99188 1,808 1,807 $47K
D1120 Prophylaxis - child 1,028 1,009 $44K
96361 Intravenous infusion, hydration; each additional hour 122 104 $44K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 329 324 $44K
D0210 Intraoral - complete series of radiographic images 1,145 868 $44K
87511 1,421 1,375 $43K
D1206 Topical application of fluoride varnish 1,613 1,576 $41K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 283 266 $39K
99284 Emergency department visit for the evaluation and management, high severity 244 230 $38K
83036 Hemoglobin; glycosylated (A1C) 7,473 7,258 $37K
D0150 Comprehensive oral evaluation - new or established patient 1,397 1,109 $36K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 802 772 $34K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 285 248 $34K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,497 1,422 $34K
D2391 Resin-based composite - one surface, posterior, primary or permanent 713 472 $33K
86780 3,208 3,143 $31K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,232 1,129 $30K
86480 604 599 $28K
80050 General health panel 2,084 2,017 $26K
84443 Thyroid stimulating hormone (TSH) 3,160 3,040 $25K
86803 2,583 2,545 $25K
90715 1,258 1,233 $24K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 171 170 $23K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,152 1,132 $23K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 5,291 5,024 $22K
90472 Immunization administration, each additional vaccine (list separately) 4,084 4,038 $22K
D9110 860 505 $22K
90651 1,020 998 $20K
80061 Lipid panel 6,164 5,996 $19K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 156 154 $19K
90670 703 697 $18K
0012A 680 607 $18K
99282 Emergency department visit for the evaluation and management, low to moderate severity 110 105 $17K
91322 229 222 $16K
90686 2,373 2,352 $14K
0011A 673 603 $14K
88142 784 781 $14K
90756 793 768 $13K
90480 305 302 $12K
90746 354 347 $12K
84703 1,816 1,728 $12K
92552 436 436 $11K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 341 238 $11K
90688 626 619 $11K
99173 1,175 1,173 $10K
90677 411 371 $10K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 262 227 $10K
0001A 215 215 $10K
0064A 354 340 $9K
80048 Basic metabolic panel (calcium, ionized) 3,246 3,011 $9K
0002A 205 205 $9K
D0220 Intraoral - periapical first radiographic image 965 590 $9K
87086 Culture, bacterial; quantitative colony count, urine 1,453 1,368 $9K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 205 204 $8K
0004A 191 191 $8K
92551 798 798 $8K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 17 12 $8K
87486 284 266 $7K
87581 284 266 $7K
82728 630 626 $7K
97161 27 26 $7K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 52 42 $6K
90661 650 600 $6K
83550 856 850 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 428 422 $6K
80053 Comprehensive metabolic panel 1,595 1,469 $6K
86706 691 682 $5K
0071A 135 134 $5K
36415 Collection of venous blood by venipuncture 8,852 7,523 $5K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 34 32 $5K
0072A 112 112 $5K
0134A 136 133 $5K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 103 38 $5K
86765 217 215 $5K
90716 164 155 $5K
82274 391 384 $4K
0124A 107 107 $4K
90734 256 254 $4K
90832 Psychotherapy, 30 minutes with patient 59 54 $4K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 25 25 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 50 47 $3K
90658 241 230 $3K
87340 428 422 $3K
86762 270 267 $3K
90707 181 173 $3K
86787 263 259 $3K
85018 1,273 1,269 $3K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 51 25 $3K
G0378 Hospital observation service, per hour 24 14 $3K
86735 216 213 $2K
81003 1,359 1,284 $2K
81001 1,111 1,043 $2K
87081 386 385 $2K
82607 225 223 $2K
82043 867 836 $2K
J1050 Injection, medroxyprogesterone acetate, 1 mg 39 39 $2K
82805 47 44 $2K
70355 31 31 $2K
71046 Radiologic examination, chest; 2 views 143 134 $2K
99442 41 40 $2K
90791 Psychiatric diagnostic evaluation 14 14 $2K
99385 45 45 $2K
90837 Psychotherapy, 53 minutes with patient 14 12 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 13 13 $2K
D0180 108 62 $2K
D1208 Topical application of fluoride, excluding varnish 58 58 $2K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 492 454 $2K
85027 309 288 $2K
99382 12 12 $1K
76700 Ultrasound, abdominal, real time with image documentation; complete 13 13 $1K
82746 147 145 $1K
90674 52 52 $1K
70450 Computed tomography, head or brain; without contrast material 13 13 $1K
D2150 Silver amalgam - two surfaces, primary or permanent 23 13 $1K
11719 154 148 $1K
D0140 Limited oral evaluation - problem focused 33 24 $972.00
J3490 Unclassified drugs 26 26 $958.44
84439 134 131 $954.10
90662 153 148 $884.22
84702 70 59 $851.88
91301 576 468 $774.90
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 51 51 $744.60
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 16 13 $716.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 162 160 $713.16
87536 18 17 $698.58
86850 132 119 $670.98
91300 315 313 $664.20
90633 329 311 $635.40
90694 67 62 $625.84
84484 84 71 $555.86
87522 Neg quan hep c or qual rna 15 14 $546.98
J2405 Injection, ondansetron hydrochloride, per 1 mg 102 89 $498.96
J3010 Injection, fentanyl citrate, 0.1 mg 73 58 $498.96
J2704 Injection, propofol, 10 mg 58 54 $498.96
83605 63 54 $468.00
G0008 Administration of influenza virus vaccine 503 495 $460.15
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 75 69 $454.35
86708 42 42 $448.13
86141 53 49 $436.97
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 16 16 $397.45
83690 81 77 $383.69
90732 25 25 $378.97
J2250 Injection, midazolam hydrochloride, per 1 mg 49 45 $374.22
J1100 Injection, dexamethasone sodium phosphate, 1 mg 37 35 $374.22
87430 32 31 $372.60
ATP03 232 204 $359.27
90619 206 193 $329.30
87641 16 16 $320.10
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 44 40 $311.85
83970 17 15 $301.20
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 13 12 $288.09
83735 103 70 $287.17
86753 25 24 $284.18
86900 132 119 $275.40
86901 132 119 $270.37
J1885 Injection, ketorolac tromethamine, per 15 mg 102 88 $250.52
90656 120 110 $244.71
87186 33 33 $228.52
91307 270 254 $221.40
85610 110 79 $214.80
83540 56 56 $213.67
73610 17 16 $181.60
83655 1,294 1,278 $164.42
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 13 12 $154.24
77067 Screening mammography, bilateral, including computer-aided detection 13 13 $141.65
85652 70 66 $132.84
85730 29 28 $126.04
86580 13 13 $119.80
87077 15 14 $95.81
82570 37 24 $94.40
73630 16 15 $90.80
90653 31 30 $82.64
88305 Level IV - Surgical pathology, gross and microscopic examination 18 17 $79.28
80076 14 14 $66.03
82330 47 44 $64.64
J0696 Injection, ceftriaxone sodium, per 250 mg 17 17 $62.34
82465 13 13 $52.06
82248 65 58 $46.14
84156 20 13 $36.85
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 26 26 $34.91
82550 15 14 $32.61
84450 12 12 $29.58
82947 12 12 $29.58
84460 12 12 $29.56
82962 251 208 $21.78
82565 13 13 $16.39
T1013 Sign language or oral interpretive services, per 15 minutes 13 13 $10.50
91313 94 91 $0.01
91306 256 243 $0.01
90648 320 315 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 50 49 $0.00
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 15 14 $0.00
84100 19 16 $0.00
91312 83 81 $0.00
99218 74 25 $0.00
91321 45 33 $0.00
90681 12 12 $0.00
90685 16 16 $0.00
90710 15 15 $0.00
90700 17 17 $0.00
90697 247 230 $0.00
71045 Radiologic examination, chest; single view 14 14 $0.00
80320 47 45 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 36 28 $0.00
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 131 119 $0.00
90723 154 153 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 77 70 $0.00
96375 Therapeutic injection; each additional sequential IV push 88 76 $0.00
96376 21 12 $0.00
36416 33 33 $0.00
80329 13 12 $0.00
90474 17 17 $0.00
G0009 Administration of pneumococcal vaccine 15 15 $0.00