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

Pratt Urology Associates, INC

Pratt Urology Associates, INC was paid $204K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.

33Billing provider infoPRATT UROLOGY ASSOCIATES, INC
BOSTON, MA 02111
33aNPI1497795025assigned 06/08/2006
33bProvider typeUrology Physician
28Total paid$204K
24GClaims6,806
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Urology Physician providers in Massachusetts

Rank by total paid#6 of 65
Median peer was paid$4K
This provider vs. median55×

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
20181,058$30K
2019952$23K
2020495$14K
2021580$15K
2022840$23K
20231,536$51K
2024incomplete1,345$48K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 56% 3,599 3,527 $115K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18% 1,578 1,546 $36K
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 8.0% 264 264 $16K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6.4% 318 317 $13K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 5.5% 276 261 $11K
52000 4.5% 249 247 $9K
76775 <1% 79 75 $2K
81002 <1% 390 381 $541.19
99443 <1% 25 25 $343.99
99441 <1% 13 13 $76.98
51741 <1% 15 14 $32.52

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

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