Medicaid Provider Spending

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

NEW ENGLAND MEDICAL CENTER GROUP PRACTICE INC

NPI: 1487601787 · BOSTON, MA 02111 · Neurological Surgery Physician · NPI assigned 05/30/2006

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

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

$50K
Total Medicaid Paid
1,263
Total Claims
1,144
Beneficiaries
10
Codes Billed
2018-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGALLEGOS, EDWARD (DIRECTOR)
NPI Enumeration Date05/30/2006

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 OB/GYN ASSOCIATES, INC BOSTON MA $2.62M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 199 $7K
2019 383 $15K
2020 128 $5K
2021 349 $17K
2022 127 $5K
2023 65 $2K
2024 12 $626.99

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
36224 66 60 $12K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 475 450 $11K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 274 271 $8K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 91 90 $6K
76377 246 174 $5K
36226 34 31 $5K
36227 19 17 $862.76
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 25 25 $791.49
99222 Initial hospital care, per day, moderate complexity 12 12 $447.66
99232 Subsequent hospital care, per day, moderate complexity 21 14 $436.20