Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

New England Medical Center Group Practice INC

New England Medical Center Group Practice INC was paid $50K by Medicaid between Mar 2018 and Nov 2024, across 10 billing codes. Its largest line is 36224, — 23% of everything it billed.

33Billing provider infoNEW ENGLAND MEDICAL CENTER GROUP PRACTICE INC
BOSTON, MA 02111
33aNPI1487601787assigned 05/30/2006
28Total paid$50K
24GClaims1,263
24DCodes billed10
24AFirst – last monthMar 2018 – Nov 2024
Compared with peers

Next to other Neurological Surgery Physician providers in Massachusetts

Rank by total paid#5 of 9
Median peer was paid$50K
This provider vs. median1.0×

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.

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
2018199$7K
2019383$15K
2020128$5K
2021349$17K
2022127$5K
202365$2K
2024incomplete12$626.99
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
36224 23% 66 60 $12K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22% 475 450 $11K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17% 274 271 $8K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13% 91 90 $6K
76377 10% 246 174 $5K
36226 9.5% 34 31 $5K
36227 1.7% 19 17 $862.76
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.6% 25 25 $791.49
99222 Initial hospital care, per day, moderate complexity <1% 12 12 $447.66
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity <1% 21 14 $436.20

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)
Same official

Other billing entities under GALLEGOS, EDWARD

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.