Medicaid Provider Spending

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

MASS GENERAL BRIGHAM MEDICAL GROUP SUBURBAN MASSACHUSETTS INC

NPI: 1538191218 · NEWTON, MA 02462 · Cardiovascular Disease Physician · NPI assigned 07/06/2006

$892K
Total Medicaid Paid
64,544
Total Claims
55,883
Beneficiaries
47
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGAINER, LINDSAY (PRESIDENT & COO)
NPI Enumeration Date07/06/2006

Related Entities

Other providers sharing the same authorized official: GAINER, LINDSAY

ProviderCityStateTotal Paid
MASS GENERAL BRIGHAM MEDICAL GROUP NORTHERN MASSACHUSETTS INC SALEM MA $30.22M
MASS GENERAL BRIGHAM MEDICAL GROUP WESTERN MASSACHUSETTS INC NORTHAMPTON MA $7.99M
MERRIMACK VALLEY ENDOSCOPY, LLC HAVERHILL MA $2.61M
MASS GENERAL BRIGHAM MEDICAL GROUP WESTERN MASSACHUSETTS INC NORTHAMPTON MA $20K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,400 $113K
2019 6,071 $96K
2020 9,441 $128K
2021 9,522 $152K
2022 9,227 $136K
2023 12,936 $156K
2024 10,947 $110K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,740 4,546 $268K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 38,174 32,478 $136K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,131 3,050 $108K
77067 Screening mammography, bilateral, including computer-aided detection 2,478 2,472 $62K
99232 Subsequent hospital care, per day, moderate complexity 2,438 986 $50K
77063 Screening digital breast tomosynthesis, bilateral 2,477 2,471 $33K
99223 Prolong inpt eval add15 m 360 360 $26K
99233 Prolong inpt eval add15 m 795 358 $25K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 818 809 $20K
99215 Prolong outpt/office vis 193 138 $18K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 368 368 $16K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 308 307 $16K
71045 Radiologic examination, chest; single view 2,257 2,005 $9K
71046 Radiologic examination, chest; 2 views 1,345 1,328 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 387 381 $8K
74177 Computed tomography, abdomen and pelvis; with contrast material 180 180 $8K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 65 27 $7K
73610 405 378 $7K
90962 153 153 $6K
99284 Emergency department visit for the evaluation and management, high severity 50 44 $5K
76830 Ultrasound, transvaginal 239 236 $5K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 220 216 $5K
73630 333 301 $5K
73564 238 217 $5K
70450 Computed tomography, head or brain; without contrast material 339 331 $5K
99222 Initial hospital care, per day, moderate complexity 82 82 $5K
99239 Hospital discharge day management, more than 30 minutes 117 116 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 43 43 $4K
99221 101 100 $3K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 150 148 $3K
99238 Hospital discharge day management, 30 minutes or less 116 116 $3K
73030 173 164 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 461 181 $2K
90686 269 267 $1K
93000 195 193 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 74 74 $777.86
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 20 12 $653.92
73110 39 37 $617.21
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 36 36 $441.03
73502 25 25 $424.28
90961 12 12 $310.10
99218 12 12 $271.32
72100 26 26 $251.00
73130 12 12 $179.20
74018 15 13 $65.20
81002 12 12 $26.40
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 63 62 $16.14