Clinic
Boston Medical Center
Boston Medical Center was paid $580K by Medicaid between Jan 2018 and Dec 2024, across 78 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 95% of everything it billed.
33Billing provider infoBOSTON MEDICAL CENTER
DORCHESTER, MA 02124
DORCHESTER, MA 02124
33aNPI1487844726assigned 08/01/2007
33bProvider typeClinic/Center
28Total paid$580K
24GClaims76,107
24DCodes billed78
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Massachusetts
Rank by total paid#19 of 53
Median peer was paid$154K
This provider vs. median3.8×
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 | 20,191 | $106K | |
| 2019 | 14,630 | $74K | |
| 2020 | 11,108 | $62K | |
| 2021 | 12,433 | $57K | |
| 2022 | 7,338 | $80K | |
| 2023 | 6,335 | $91K | |
| 2024incomplete | 4,072 | $111K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 95% | 19,462 | 15,746 | $552K |
| Q3014 | Telehealth originating site facility fee | 1.6% | 2,478 | 2,205 | $9K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 144 | 140 | $3K |
| G0008 | Administration of influenza virus vaccine | <1% | 1,318 | 1,312 | $3K |
| 90694 | <1% | 265 | 265 | $2K | |
| 99487 | Ccm add 20min | <1% | 52 | 52 | $2K |
| 90656 | <1% | 789 | 781 | $2K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 1,315 | 881 | $1K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 445 | 441 | $1K |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 703 | 652 | $984.16 |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 549 | 346 | $745.77 |
| 90653 | <1% | 44 | 44 | $393.13 |
66 more codes
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,957 | $361.11 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 108 | $315.65 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 119 | $150.90 |
| 91322 | <1% | 18 | $145.92 | |
| 82948 | <1% | 777 | $117.32 | |
| 90677 | <1% | 13 | $102.57 | |
| 90674 | <1% | 29 | $83.59 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 266 | $49.99 |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,381 | $47.10 |
| 90480 | <1% | 18 | $45.87 | |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | <1% | 58 | $35.65 |
| 82962 | <1% | 2,408 | $33.03 | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 162 | $27.74 |
| ATP03 | <1% | 619 | $20.55 | |
| Q2036 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) | <1% | 14 | $16.00 |
| 86803 | <1% | 42 | $11.99 | |
| 80061 | Lipid panel | 0% | 1,250 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 1,949 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 1,148 | $0.00 |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 0% | 348 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 1,393 | $0.00 |
| 81003 | 0% | 220 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 172 | $0.00 |
| 82570 | 0% | 191 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 2,140 | $0.00 |
| 0004A | 0% | 56 | $0.00 | |
| 91300 | 0% | 29 | $0.00 | |
| D0270 | 0% | 90 | $0.00 | |
| 0124A | 0% | 37 | $0.00 | |
| D9110 | 0% | 93 | $0.00 | |
| 90750 | 0% | 27 | $0.00 | |
| 0013A | 0% | 57 | $0.00 | |
| 82274 | 0% | 12 | $0.00 | |
| D0330 | Panoramic radiographic image | 0% | 41 | $0.00 |
| D4341 | 0% | 45 | $0.00 | |
| 36416 | 0% | 2,666 | $0.00 | |
| D9450 | 0% | 12,753 | $0.00 | |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 900 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 531 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 557 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 1,966 | $0.00 |
| 0011A | 0% | 400 | $0.00 | |
| 82043 | 0% | 247 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 2,626 | $0.00 |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | 0% | 327 | $0.00 |
| 80053 | Comprehensive metabolic panel | 0% | 755 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 780 | $0.00 |
| 91301 | 0% | 683 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 1,017 | $0.00 |
| D2331 | 0% | 31 | $0.00 | |
| 0012A | 0% | 389 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 1,056 | $0.00 |
| D1320 | 0% | 144 | $0.00 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 37 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 667 | $0.00 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 171 | $0.00 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 94 | $0.00 |
| 0064A | 0% | 243 | $0.00 | |
| ATP11 | 0% | 12 | $0.00 | |
| 0134A | 0% | 58 | $0.00 | |
| 86780 | 0% | 25 | $0.00 | |
| 85027 | 0% | 27 | $0.00 | |
| 94760 | 0% | 15 | $0.00 | |
| D9995 | 0% | 54 | $0.00 | |
| 91306 | 0% | 12 | $0.00 | |
| ATP14 | 0% | 13 | $0.00 |
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 officialGRIFFIN, TRUDY (CREDENTIALING COORDINATOR)
Parent organizationBOSTON MEDICAL CENTER