Clinic
Joslin Clinic INC
Joslin Clinic INC was paid $725K by Medicaid between Jan 2018 and Nov 2024, across 61 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.
33Billing provider infoJOSLIN CLINIC INC
BOSTON, MA 02215
BOSTON, MA 02215
33aNPI1528003621assigned 06/20/2006
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$725K
24GClaims55,505
24DCodes billed61
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Massachusetts
Rank by total paid#5 of 16
Median peer was paid$198K
This provider vs. median3.7×
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 | 16,371 | $130K | |
| 2019 | 15,686 | $116K | |
| 2020 | 4,047 | $63K | |
| 2021 | 5,640 | $102K | |
| 2022 | 7,080 | $101K | |
| 2023 | 3,823 | $110K | |
| 2024incomplete | 2,858 | $103K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 39% | 9,255 | 8,978 | $284K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 11% | 963 | 953 | $79K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 9.6% | 1,669 | 1,657 | $70K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 8.0% | 1,639 | 1,537 | $58K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.7% | 1,758 | 681 | $42K |
| J0178 | Injection, aflibercept, 1 mg | 3.5% | 26 | 25 | $26K |
| 83036 | Hemoglobin; glycosylated (A1C) | 3.0% | 6,165 | 6,100 | $22K |
| 95251 | 2.5% | 1,119 | 1,088 | $18K | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 2.3% | 1,407 | 612 | $17K |
| 67028 | Intravitreal injection of a pharmacologic agent | 2.3% | 371 | 360 | $16K |
| 92250 | 2.2% | 1,156 | 840 | $16K | |
| 92134 | 2.2% | 1,638 | 1,037 | $16K |
49 more codes
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.0% | 212 | $8K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 934 | $4K |
| 99223 | Prolong inpt eval add15 m | <1% | 128 | $4K |
| 82043 | <1% | 2,369 | $4K | |
| 80061 | Lipid panel | <1% | 3,076 | $4K |
| 82570 | <1% | 2,368 | $4K | |
| 90837 | Psychotherapy session, about an hour | <1% | 28 | $3K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 116 | $3K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 117 | $3K |
| ATP17 | <1% | 695 | $2K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 26 | $2K |
| ATP11 | <1% | 447 | $1K | |
| 82565 | <1% | 2,026 | $1K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 16 | $1K |
| 80051 | <1% | 1,601 | $1K | |
| ATP06 | <1% | 787 | $1K | |
| 84681 | <1% | 130 | $1K | |
| ATP09 | <1% | 360 | $978.32 | |
| 80053 | Comprehensive metabolic panel | <1% | 685 | $954.73 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 112 | $949.22 |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,744 | $835.54 |
| ATP14 | <1% | 246 | $794.97 | |
| 97803 | <1% | 36 | $770.58 | |
| 84439 | <1% | 229 | $757.84 | |
| 84520 | <1% | 1,479 | $742.03 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 627 | $736.49 |
| 84460 | <1% | 992 | $703.07 | |
| ATP13 | <1% | 235 | $653.40 | |
| ATP16 | <1% | 271 | $611.04 | |
| 92015 | Determination of refractive state | <1% | 50 | $605.46 |
| 84450 | <1% | 826 | $543.82 | |
| 85027 | <1% | 217 | $537.67 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 71 | $496.07 |
| ATP10 | <1% | 184 | $456.96 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 26 | $377.34 |
| 80076 | <1% | 608 | $360.18 | |
| 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) | <1% | 80 | $264.11 |
| ATP07 | <1% | 172 | $261.33 | |
| ATP03 | <1% | 72 | $181.29 | |
| 82962 | <1% | 505 | $169.09 | |
| ATP08 | <1% | 126 | $166.49 | |
| 99443 | <1% | 57 | $121.56 | |
| 81003 | <1% | 13 | $14.55 | |
| 85014 | <1% | 12 | $10.88 | |
| 85018 | <1% | 12 | $10.88 | |
| 82947 | <1% | 92 | $10.49 | |
| 84100 | <1% | 12 | $8.56 | |
| 82040 | <1% | 25 | $6.32 | |
| 36416 | <1% | 87 | $5.40 |
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 officialMEHTA, SANJEEV (SVP, CHIEF MEDICAL OFFICER)