Physician
Lahey Clinic, INC.
Lahey Clinic, INC. was paid $5.70M by Medicaid between Jan 2018 and Dec 2024, across 113 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.
33Billing provider infoLAHEY CLINIC, INC.
BURLINGTON, MA 01805
BURLINGTON, MA 01805
33aNPI1538194980assigned 07/12/2006
33bProvider typeInternal Medicine Physician
28Total paid$5.70M
24GClaims255,915
24DCodes billed113
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Massachusetts
Rank by total paid#11 of 1,270
Median peer was paid$8K
This provider vs. median682×
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 | 32,215 | $670K | |
| 2019 | 20,494 | $444K | |
| 2020 | 26,074 | $502K | |
| 2021 | 32,210 | $617K | |
| 2022 | 34,474 | $686K | |
| 2023 | 58,265 | $1.40M | |
| 2024incomplete | 52,183 | $1.38M |
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 | 26% | 37,732 | 35,045 | $1.50M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 20% | 16,117 | 15,820 | $1.14M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 7.1% | 5,773 | 4,445 | $404K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 5.3% | 9,874 | 3,790 | $302K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 4.8% | 9,525 | 9,279 | $276K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.6% | 10,404 | 9,708 | $263K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 3.5% | 64,405 | 55,989 | $198K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.5% | 4,409 | 4,072 | $197K |
| 70450 | Computed tomography, head or brain; without contrast material | 2.2% | 8,362 | 7,639 | $125K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.9% | 4,953 | 1,886 | $109K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 1.8% | 3,693 | 3,600 | $100K |
| 71045 | Radiologic examination, chest; single view | 1.7% | 24,884 | 19,215 | $95K |
101 more codes
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.3% | 2,966 | $74K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 1.3% | 1,923 | $73K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.2% | 1,112 | $69K |
| 99223 | Prolong inpt eval add15 m | 1.1% | 1,178 | $65K |
| 99204 | Doctor's office visit, new patient (more involved) | 1.1% | 981 | $64K |
| 99284 | Emergency room visit (serious) | 1.1% | 1,113 | $62K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 530 | $56K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 3,554 | $41K |
| 78815 | Positron emission tomography (PET) for limited area imaging | <1% | 955 | $32K |
| 90837 | Psychotherapy session, about an hour | <1% | 427 | $32K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 6,087 | $32K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 1,309 | $30K |
| 99397 | <1% | 534 | $30K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 849 | $29K |
| 83020 | <1% | 1,701 | $23K | |
| 64615 | <1% | 543 | $23K | |
| 84165 | <1% | 3,502 | $22K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 323 | $15K |
| 49083 | <1% | 255 | $15K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 171 | $15K |
| 93975 | <1% | 631 | $15K | |
| 99443 | <1% | 830 | $13K | |
| 92015 | Determination of refractive state | <1% | 1,045 | $13K |
| 86334 | <1% | 1,755 | $11K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 439 | $11K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 313 | $10K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 410 | $9K |
| 99407 | <1% | 401 | $9K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 628 | $7K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 244 | $6K |
| 97803 | <1% | 164 | $5K | |
| 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% | 842 | $5K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 341 | $5K |
| 99221 | <1% | 219 | $5K | |
| 92134 | <1% | 517 | $5K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 228 | $5K |
| 88307 | <1% | 73 | $4K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 932 | $4K |
| 99442 | <1% | 488 | $3K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 352 | $3K |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 78 | $3K |
| 76770 | <1% | 277 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,246 | $3K |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 128 | $2K |
| 88342 | <1% | 117 | $2K | |
| 88189 | <1% | 52 | $2K | |
| 98968 | <1% | 84 | $2K | |
| 73562 | <1% | 308 | $2K | |
| 73030 | <1% | 293 | $1K | |
| 11721 | <1% | 243 | $1K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 13 | $1K |
| 67028 | Intravitreal injection of a pharmacologic agent | <1% | 29 | $1K |
| 93295 | <1% | 91 | $1K | |
| 77080 | <1% | 283 | $960.11 | |
| 99283 | Emergency room visit (moderate) | <1% | 26 | $948.33 |
| 92557 | <1% | 41 | $920.78 | |
| 95720 | <1% | 25 | $919.88 | |
| 84181 | <1% | 93 | $918.20 | |
| 31231 | <1% | 26 | $877.23 | |
| 74018 | <1% | 253 | $849.01 | |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 27 | $820.24 |
| 93298 | <1% | 105 | $817.88 | |
| 88112 | <1% | 64 | $814.38 | |
| 00731 | <1% | 15 | $797.77 | |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 26 | $789.29 |
| 71250 | <1% | 25 | $680.76 | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 12 | $549.51 |
| 31575 | <1% | 12 | $536.76 | |
| 74183 | <1% | 13 | $525.82 | |
| 92567 | <1% | 68 | $510.57 | |
| 93971 | <1% | 73 | $438.87 | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 29 | $436.39 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 39 | $427.14 |
| 92133 | <1% | 28 | $405.03 | |
| 93970 | <1% | 31 | $402.64 | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 25 | $400.54 |
| 84166 | <1% | 65 | $365.23 | |
| 95819 | <1% | 13 | $359.76 | |
| 20610 | <1% | 15 | $310.46 | |
| 93294 | <1% | 42 | $299.48 | |
| 90686 | <1% | 30 | $290.95 | |
| 88104 | <1% | 18 | $270.68 | |
| 76981 | <1% | 27 | $267.61 | |
| 76536 | <1% | 27 | $212.37 | |
| 73502 | <1% | 53 | $198.95 | |
| 95251 | <1% | 14 | $180.26 | |
| 92083 | <1% | 13 | $179.97 | |
| 93923 | <1% | 28 | $178.87 | |
| 76830 | Ultrasound, transvaginal | <1% | 12 | $162.00 |
| 76642 | <1% | 13 | $158.64 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 27 | $157.33 |
| 93016 | <1% | 12 | $147.72 | |
| G0008 | Administration of influenza virus vaccine | <1% | 25 | $147.53 |
| 62323 | <1% | 12 | $119.88 | |
| 93018 | <1% | 12 | $98.64 | |
| 90662 | <1% | 13 | $88.08 | |
| 94729 | <1% | 12 | $51.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 44 | $21.68 |
| 94760 | <1% | 151 | $21.63 | |
| 73610 | <1% | 12 | $14.62 | |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | 0% | 9,931 | $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 officialMOFFATT-BRUCE, SUSAN (PRESIDENT)
Parent organizationBETH ISRAEL LAHEY HEALTH INC
| Provider | Location | Paid |
|---|---|---|
| Lahey Clinic, INC | Peabody, MA | $3.29M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.