Medicaid Provider Spending

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

PRATT MEDICAL GROUP, INC

NPI: 1508187642 · BOSTON, MA 02111 · Pulmonary Disease Physician · NPI assigned 06/11/2010

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

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

$705K
Total Medicaid Paid
13,744
Total Claims
8,619
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGALLEGOS, EDWARD (DIRECTOR)
NPI Enumeration Date06/11/2010

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 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
PRATT SURGICAL ASSOCIATES INC BOSTON MA $123K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,878 $83K
2019 1,515 $62K
2020 1,446 $99K
2021 1,309 $72K
2022 1,151 $64K
2023 2,289 $146K
2024 4,156 $180K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 6,751 2,860 $540K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,760 1,660 $62K
99233 Prolong inpt eval add15 m 1,493 721 $51K
99215 Prolong outpt/office vis 438 388 $21K
99232 Subsequent hospital care, per day, moderate complexity 388 180 $6K
99223 Prolong inpt eval add15 m 108 91 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 133 128 $4K
94729 805 800 $3K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 578 536 $3K
94726 447 445 $2K
94010 563 557 $2K
99292 35 13 $930.87
99239 Hospital discharge day management, more than 30 minutes 24 24 $821.59
94060 64 64 $762.50
94727 38 38 $528.87
94664 67 65 $489.31
99238 Hospital discharge day management, 30 minutes or less 14 13 $377.17
95806 12 12 $277.44
94618 14 12 $90.34
G8510 Screening for depression is documented as negative, a follow-up plan is not required 12 12 $0.00