Boston Emergency Physician Foundation, INC.

Boston Emergency Physician Foundation, INC. was paid $24.35M by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 99285, emergency room visit (most serious) — 50% of everything it billed.

33Billing provider infoBOSTON EMERGENCY PHYSICIAN FOUNDATION, INC.
BOSTON, MA 02118

33aNPI1427005859assigned 05/30/2006

33bProvider typeEmergency Medicine Physician

28Total paid$24.35M

24GClaims336,564

24DCodes billed7

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Emergency Medicine Physician providers in Massachusetts

Rank by total paid#6 of 618

Median peer was paid$8K

This provider vs. median2,946×

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	52,767	$3.66M
2019	53,406	$3.62M
2020	44,624	$3.31M
2021	46,042	$3.08M
2022	46,708	$3.56M
2023	51,598	$3.64M
2024incomplete	41,419	$3.48M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	50%	131,591	130,203	$12.28M
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	38%	131,544	130,140	$9.28M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	9.4%	61,404	60,429	$2.30M
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	1.0%	2,158	2,146	$249K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	8,930	8,816	$233K
99281	Emergency department visit for the evaluation and management, self-limited or minor	<1%	917	906	$12K
76604		<1%	20	20	$340.83

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 officialARBELAEZ, CHRISTIAN (PRESIDENT)