Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › BURLINGTON › LAHEY CLINIC, INC.

LAHEY CLINIC, INC.

NPI: 1538194980 · BURLINGTON, MA 01805 · Internal Medicine Physician · NPI assigned 07/12/2006

$5.70M
Total Medicaid Paid
255,915
Total Claims
220,808
Beneficiaries
113
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMOFFATT-BRUCE, SUSAN (PRESIDENT)
Parent OrganizationBETH ISRAEL LAHEY HEALTH INC
NPI Enumeration Date07/12/2006

Related Entities

Other providers sharing the same authorized official: MOFFATT-BRUCE, SUSAN

ProviderCityStateTotal Paid
LAHEY CLINIC, INC PEABODY MA $3.29M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 52,183 $1.38M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 37,732 35,045 $1.50M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 16,117 15,820 $1.14M
90834 Psychotherapy, 45 minutes with patient 5,773 4,445 $404K
99233 Prolong inpt eval add15 m 9,874 3,790 $302K
88305 Level IV - Surgical pathology, gross and microscopic examination 9,525 9,279 $276K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,404 9,708 $263K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 64,405 55,989 $198K
99215 Prolong outpt/office vis 4,409 4,072 $197K
70450 Computed tomography, head or brain; without contrast material 8,362 7,639 $125K
99232 Subsequent hospital care, per day, moderate complexity 4,953 1,886 $109K
77067 Screening mammography, bilateral, including computer-aided detection 3,693 3,600 $100K
71045 Radiologic examination, chest; single view 24,884 19,215 $95K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,966 2,891 $74K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,923 1,862 $73K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,112 461 $69K
99223 Prolong inpt eval add15 m 1,178 1,115 $65K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 981 955 $64K
99284 Emergency department visit for the evaluation and management, high severity 1,113 1,097 $62K
90791 Psychiatric diagnostic evaluation 530 523 $56K
77063 Screening digital breast tomosynthesis, bilateral 3,554 3,472 $41K
78815 Positron emission tomography (PET) for limited area imaging 955 921 $32K
90837 Psychotherapy, 53 minutes with patient 427 303 $32K
71046 Radiologic examination, chest; 2 views 6,087 5,892 $32K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 1,309 1,220 $30K
99397 534 534 $30K
99239 Hospital discharge day management, more than 30 minutes 849 816 $29K
83020 1,701 1,696 $23K
64615 543 541 $23K
84165 3,502 3,428 $22K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 323 310 $15K
49083 255 191 $15K
90792 Psychiatric diagnostic evaluation with medical services 171 170 $15K
93975 631 590 $15K
99443 830 753 $13K
92015 Determination of refractive state 1,045 1,045 $13K
86334 1,755 1,725 $11K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 439 426 $11K
99222 Initial hospital care, per day, moderate complexity 313 287 $10K
90832 Psychotherapy, 30 minutes with patient 410 357 $9K
99407 401 366 $9K
76705 Ultrasound, abdominal, real time with image documentation; limited 628 598 $7K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 244 243 $6K
97803 164 161 $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) 842 759 $5K
76700 Ultrasound, abdominal, real time with image documentation; complete 341 333 $5K
99221 219 210 $5K
92134 517 506 $5K
90853 Group psychotherapy (other than of a multiple-family group) 228 82 $5K
88307 73 72 $4K
G0444 Annual depression screening, 5 to 15 minutes 932 917 $4K
99442 488 429 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity 352 130 $3K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 78 73 $3K
76770 277 271 $3K
36415 Collection of venous blood by venipuncture 1,246 1,219 $3K
72125 Computed tomography, cervical spine; without contrast material 128 126 $2K
88342 117 106 $2K
88189 52 51 $2K
98968 84 60 $2K
73562 308 263 $2K
73030 293 274 $1K
11721 243 241 $1K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 13 13 $1K
67028 Intravitreal injection of a pharmacologic agent 29 28 $1K
93295 91 91 $1K
77080 283 271 $960.11
99283 Emergency department visit for the evaluation and management, moderate severity 26 26 $948.33
92557 41 40 $920.78
95720 25 12 $919.88
84181 93 93 $918.20
31231 26 25 $877.23
74018 253 225 $849.01
71275 Computed tomographic angiography, chest, with contrast material 27 26 $820.24
93298 105 105 $817.88
88112 64 61 $814.38
00731 15 13 $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 26 26 $789.29
71250 25 25 $680.76
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 12 12 $549.51
31575 12 12 $536.76
74183 13 13 $525.82
92567 68 67 $510.57
93971 73 66 $438.87
90935 Hemodialysis procedure with single evaluation by a physician 29 12 $436.39
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 39 38 $427.14
92133 28 26 $405.03
93970 31 26 $402.64
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 25 25 $400.54
84166 65 65 $365.23
95819 13 12 $359.76
20610 15 12 $310.46
93294 42 42 $299.48
90686 30 29 $290.95
88104 18 13 $270.68
76981 27 26 $267.61
76536 27 26 $212.37
73502 53 52 $198.95
95251 14 12 $180.26
92083 13 13 $179.97
93923 28 28 $178.87
76830 Ultrasound, transvaginal 12 12 $162.00
76642 13 12 $158.64
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 27 27 $157.33
93016 12 12 $147.72
G0008 Administration of influenza virus vaccine 25 25 $147.53
62323 12 12 $119.88
93018 12 12 $98.64
90662 13 13 $88.08
94729 12 12 $51.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 44 44 $21.68
94760 151 145 $21.63
73610 12 12 $14.62
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 9,931 7,204 $0.00