Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Baystate Medical Practices, INC

Baystate Medical Practices, INC was paid $60.51M by Medicaid between Jan 2018 and Dec 2024, across 225 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 20% of everything it billed.

33Billing provider infoBAYSTATE MEDICAL PRACTICES, INC
SPRINGFIELD, MA 01199
33aNPI1548205909assigned 06/19/2006
33bProvider typeInternal Medicine Physician
28Total paid$60.51M
24GClaims1,610,377
24DCodes billed225
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in Massachusetts

Rank by total paid#2 of 1,270
Median peer was paid$8K
This provider vs. median7,237×

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

$0$500K$1.0M$1.5M2018201920202021202220232024
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
YearClaimsPaid
2018253,041$9.48M
2019250,757$8.94M
2020188,196$7.11M
2021232,169$9.13M
2022245,103$9.88M
2023238,343$8.56M
2024incomplete202,768$7.41M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 20% 253,587 245,572 $11.92M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 14% 109,462 108,040 $8.29M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 12% 96,153 95,251 $7.11M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9.7% 156,388 150,338 $5.86M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 5.6% 144,720 70,617 $3.39M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 4.9% 93,096 50,104 $2.95M
99223 Prolong inpt eval add15 m 3.6% 33,404 32,946 $2.17M
88305 Level IV - Surgical pathology, gross and microscopic examination 2.2% 39,289 38,576 $1.34M
99239 Hospital discharge day management, more than 30 minutes 1.6% 29,781 29,366 $993K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 1.6% 20,615 20,524 $980K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.6% 254,279 225,692 $956K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.5% 14,458 13,919 $909K
213 more codes
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.4% 11,065 $859K
99204 Doctor's office visit, new patient (more involved) 1.3% 9,161 $793K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.2% 28,042 $754K
99238 Hospital discharge day management, 30 minutes or less 1.0% 14,161 $632K
99222 Initial hospital care, per day, moderate complexity <1% 11,240 $566K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 14,310 $540K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 7,404 $528K
99479 Subsequent intensive care, per day, very low birth weight infant <1% 5,315 $491K
99460 <1% 4,675 $458K
76819 Fetal biophysical profile; without non-stress testing <1% 14,681 $456K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger <1% 1,507 $432K
90834 Psychotherapy session, about 45 minutes <1% 4,490 $394K
99255 <1% 1,431 $374K
99203 Doctor's office visit, new patient (routine) <1% 5,399 $338K
90791 Psychiatric diagnostic evaluation <1% 2,135 $288K
99480 Subsequent intensive care, per day, low birth weight infant <1% 3,194 $278K
76801 <1% 5,777 $251K
90887 <1% 2,374 $246K
99205 Prolong outpt/office vis <1% 1,841 $242K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 2,756 $242K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) <1% 21,268 $200K
90792 Psychiatric diagnostic evaluation with medical services <1% 1,781 $197K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 11,593 $197K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 5,862 $183K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 2,012 $161K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 1,808 $159K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 14,716 $152K
88307 <1% 2,500 $142K
90837 Psychotherapy session, about an hour <1% 1,309 $125K
88141 <1% 5,750 $124K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 1,218 $117K
99443 <1% 7,179 $116K
99220 <1% 1,841 $113K
76813 <1% 2,357 $111K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 3,270 $101K
59025 Fetal non-stress test <1% 3,473 $100K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 2,095 $94K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 4,687 $91K
99217 <1% 3,259 $88K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 1,322 $65K
96137 <1% 225 $65K
95951 <1% 462 $61K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 701 $58K
96131 <1% 218 $58K
90472 Immunization administration, each additional vaccine (list separately) <1% 3,222 $54K
99442 <1% 5,277 $53K
86077 <1% 1,835 $52K
95886 <1% 1,755 $50K
88304 <1% 6,966 $45K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 898 $44K
99245 <1% 393 $43K
99221 <1% 990 $43K
99051 <1% 2,775 $40K
G0452 Molecular pathology procedure; physician interpretation and report <1% 2,271 $38K
95811 <1% 892 $36K
99462 <1% 838 $36K
96101 <1% 111 $35K
86334 <1% 4,953 $33K
95806 <1% 1,270 $32K
84165 <1% 4,253 $29K
93304 <1% 779 $27K
76830 Ultrasound, transvaginal <1% 567 $27K
88112 <1% 2,368 $27K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 380 $26K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 2,089 $26K
99254 <1% 138 $26K
96130 <1% 244 $25K
95720 <1% 299 $24K
90686 <1% 5,080 $22K
94375 <1% 1,805 $22K
93000 <1% 2,940 $21K
90832 Psychotherapy session, about 30 minutes <1% 431 $20K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 257 $20K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 824 $19K
93458 <1% 209 $19K
88342 <1% 1,052 $19K
95251 <1% 818 $17K
97597 <1% 2,810 $17K
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% 4,878 $17K
95816 <1% 223 $16K
95719 <1% 143 $15K
99308 Subsequent nursing facility care, per day, straightforward <1% 1,571 $14K
43235 <1% 344 $14K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 542 $14K
76820 <1% 686 $14K
93295 <1% 1,013 $13K
94060 <1% 2,900 $13K
99219 <1% 240 $12K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,185 $12K
95819 <1% 310 $12K
99173 <1% 539 $12K
99244 Office or other outpatient consultation, moderate to high complexity <1% 102 $12K
96136 <1% 237 $11K
94729 <1% 3,731 $11K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 173 $11K
93321 <1% 1,691 $11K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 128 $10K
17250 <1% 526 $10K
93325 <1% 3,016 $10K
51798 <1% 1,518 $10K
46600 <1% 192 $9K
93880 <1% 785 $9K
93298 <1% 1,117 $9K
93922 <1% 1,950 $9K
54150 <1% 120 $9K
93264 <1% 669 $8K
93227 <1% 740 $8K
99292 <1% 141 $7K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 225 $7K
95782 <1% 71 $7K
90674 <1% 437 $6K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 133 $6K
20610 <1% 311 $6K
83036 Hemoglobin; glycosylated (A1C) <1% 711 $5K
99201 <1% 271 $5K
93294 <1% 693 $5K
88173 <1% 146 $5K
J0475 Injection, baclofen, 10 mg <1% 13 $5K
93016 <1% 728 $5K
99226 <1% 112 $5K
95910 <1% 91 $5K
94726 <1% 1,047 $4K
96127 <1% 688 $4K
93018 <1% 924 $4K
99235 <1% 39 $4K
99451 <1% 283 $4K
99236 Prolong inpt eval add15 m <1% 39 $4K
94727 <1% 895 $4K
88312 <1% 245 $4K
99243 <1% 39 $3K
99225 <1% 76 $3K
99441 <1% 478 $3K
69210 <1% 204 $3K
81025 <1% 444 $3K
93296 <1% 411 $2K
99152 <1% 782 $2K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 183 $2K
90461 <1% 467 $2K
80305 <1% 357 $2K
95953 <1% 27 $2K
99253 <1% 14 $2K
88189 <1% 63 $2K
88311 <1% 454 $2K
90847 Family psychotherapy with the patient present, 50 minutes <1% 17 $2K
51725 <1% 57 $2K
99350 Prolong home eval add 15m <1% 38 $2K
99417 Prolong home eval add 15m <1% 95 $2K
93970 <1% 94 $2K
76825 <1% 29 $2K
88341 <1% 62 $2K
81003 <1% 1,482 $2K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 54 $2K
93971 <1% 111 $1K
88300 <1% 482 $1K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 24 $1K
93320 <1% 101 $1K
99385 <1% 14 $1K
99497 <1% 48 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 329 $1K
20526 <1% 26 $1K
0124A <1% 42 $982.74
73560 <1% 133 $974.91
31575 <1% 14 $931.02
93926 <1% 132 $909.36
90474 <1% 42 $884.03
86335 <1% 152 $751.42
95913 <1% 13 $745.40
90838 <1% 65 $741.16
99381 <1% 12 $693.82
81002 <1% 641 $680.34
99349 <1% 37 $659.07
93308 <1% 63 $658.17
92551 <1% 63 $620.67
76827 <1% 29 $610.27
0072A <1% 13 $596.33
49083 <1% 13 $574.08
88302 <1% 58 $537.57
88313 <1% 53 $524.44
81479 Unlisted molecular pathology procedure <1% 59 $502.28
99318 <1% 12 $473.64
10005 <1% 17 $461.58
84166 <1% 76 $445.37
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 121 $415.35
0064A <1% 13 $321.10
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 87 $262.92
90670 <1% 341 $241.38
76536 <1% 13 $239.18
82962 <1% 213 $227.45
99459 <1% 13 $220.56
62370 <1% 14 $219.40
90656 <1% 12 $197.70
73562 <1% 17 $193.63
11721 <1% 25 $166.11
99307 <1% 12 $161.53
90688 <1% 1,138 $160.47
99406 <1% 25 $152.04
93978 <1% 12 $145.28
77001 <1% 25 $138.72
90662 <1% 12 $130.52
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 18 $110.45
76604 <1% 15 $107.68
93280 <1% 12 $84.10
J1030 Injection, methylprednisolone acetate, 40 mg <1% 13 $52.98
93356 <1% 26 $24.02
G0008 Administration of influenza virus vaccine <1% 216 $21.63
90648 0% 260 $0.00
90685 0% 78 $0.00
90633 0% 204 $0.00
90734 0% 12 $0.00
90680 0% 49 $0.00
90651 0% 80 $0.00
90723 0% 89 $0.00
90698 0% 14 $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 officialCHOINIERE, JUSTIN (MANAGER PROVIDER ENROLLMENT)