Medicaid Provider Spending

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

BAYSTATE MEDICAL CENTER INC

NPI: 1568488450 · SPRINGFIELD, MA 01199 · General Acute Care Hospital · NPI assigned 07/14/2006

$40.55M
Total Medicaid Paid
3,844,354
Total Claims
3,618,888
Beneficiaries
325
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCCARTHY, RAYMOND (SR. VP, CFO & TREASURER)
NPI Enumeration Date07/14/2006

Related Entities

Other providers sharing the same authorized official: MCCARTHY, RAYMOND

ProviderCityStateTotal Paid
BAYSTATE WING HOSPITAL CORPORATION PALMER MA $38.22M
BAYSTATE FRANKLIN MEDICAL CENTER GREENFIELD MA $29.11M
BAYSTATE WING HOSPITAL CORPORATION PALMER MA $2.29M
BAYSTATE MEDICAL CENTER INC SPRINGFIELD MA $1.12M
BAYSTATE FRANKLIN MEDICAL CENTER GREENFIELD MA $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 609,102 $5.00M
2019 145,133 $1.16M
2020 610,041 $6.91M
2021 815,716 $10.12M
2022 803,128 $8.60M
2023 732,007 $7.43M
2024 129,227 $1.33M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 114,112 105,170 $7.26M
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 81,324 78,540 $2.01M
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 80,396 77,660 $1.98M
84443 Thyroid stimulating hormone (TSH) 129,296 125,892 $1.24M
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 65,210 63,831 $1.05M
81513 16,755 15,424 $1.03M
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 61,936 60,733 $981K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 3,094 3,046 $912K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 50,829 47,115 $904K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 28,136 24,520 $873K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 184,336 171,921 $782K
87631 7,465 7,360 $736K
86480 16,875 16,608 $665K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 26,785 25,171 $612K
83036 Hemoglobin; glycosylated (A1C) 119,676 116,982 $607K
87481 19,670 18,220 $602K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 25,384 25,095 $578K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 27,136 26,877 $542K
86780 50,092 49,140 $453K
86803 49,460 48,575 $447K
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed 6,016 4,934 $432K
80053 Comprehensive metabolic panel 152,351 145,303 $423K
86003 17,883 5,276 $412K
88305 Level IV - Surgical pathology, gross and microscopic examination 9,602 9,049 $408K
87086 Culture, bacterial; quantitative colony count, urine 75,411 70,611 $396K
87536 7,783 7,608 $392K
80061 Lipid panel 121,421 118,964 $381K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 12,824 11,247 $358K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 5,103 4,988 $345K
83655 29,348 28,923 $318K
85027 78,207 75,791 $305K
83013 6,486 6,378 $304K
82607 39,249 38,429 $303K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 1,035 1,013 $290K
82728 36,993 35,886 $288K
87902 1,865 1,819 $283K
83970 16,647 16,117 $283K
87088 34,612 30,147 $278K
87522 Neg quan hep c or qual rna 9,376 9,138 $261K
84439 45,485 44,342 $247K
80050 General health panel 8,764 8,700 $224K
87340 33,437 32,716 $222K
ATP17 31,373 30,048 $203K
86481 3,931 3,854 $199K
84702 16,755 13,702 $196K
ATP14 35,505 33,410 $187K
86317 17,428 16,238 $182K
84403 9,502 9,201 $158K
81001 85,248 81,069 $152K
80048 Basic metabolic panel (calcium, ionized) 72,062 68,143 $152K
83550 32,668 31,615 $151K
82570 59,718 57,675 $148K
86360 5,595 5,494 $142K
86762 12,694 12,554 $139K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1,190 1,176 $136K
84153 14,725 14,274 $135K
83540 36,242 35,100 $128K
83880 9,184 8,304 $121K
82043 44,233 43,192 $117K
82746 15,311 15,011 $117K
87081 20,650 20,245 $116K
86355 5,597 5,496 $115K
86357 5,591 5,487 $114K
87186 21,650 20,697 $113K
86359 5,571 5,465 $111K
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed 1,323 1,156 $110K
87077 22,878 21,703 $109K
84146 7,676 7,502 $102K
86704 14,632 14,294 $101K
36415 Collection of venous blood by venipuncture 355,921 315,763 $101K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 3,331 2,981 $100K
86850 13,501 13,165 $100K
83516 8,806 7,985 $99K
82670 4,798 4,673 $93K
87070 14,310 13,724 $93K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,578 2,388 $92K
83001 6,763 6,675 $88K
87653 2,993 2,964 $87K
ATP08 23,153 21,193 $87K
82784 9,581 8,624 $81K
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision 4,956 4,925 $78K
82652 3,264 3,217 $78K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 1,524 1,494 $77K
86038 9,807 9,649 $77K
85610 41,279 23,605 $76K
ATP15 13,139 11,936 $75K
83735 23,946 21,231 $73K
86787 7,668 7,567 $72K
86140 22,314 20,918 $72K
83718 13,034 12,860 $68K
80074 1,885 1,851 $67K
82274 8,340 8,222 $64K
84270 4,623 4,515 $63K
80069 24,038 22,161 $63K
86618 5,732 5,646 $62K
83002 4,683 4,623 $62K
83021 4,280 4,216 $60K
82105 4,414 4,323 $57K
87529 2,031 1,743 $56K
87480 3,389 3,304 $54K
87510 3,375 3,293 $54K
ATP11 10,132 9,700 $54K
87660 3,379 3,296 $54K
87147 12,591 12,203 $53K
80076 20,043 19,108 $53K
86708 7,324 7,208 $52K
82785 4,121 4,080 $50K
83721 11,765 11,544 $49K
85652 28,702 27,246 $48K
ATP18 6,976 6,660 $48K
84460 30,288 29,051 $47K
84481 4,532 4,403 $46K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,351 4,212 $45K
86160 3,427 2,623 $44K
86696 3,203 3,158 $43K
86376 4,382 4,307 $43K
ATP03 9,318 8,936 $42K
86665 1,699 1,573 $41K
84450 28,293 27,081 $41K
82565 25,038 23,535 $39K
82950 9,611 9,535 $38K
82627 2,366 2,334 $37K
83014 6,441 6,336 $35K
86235 1,455 951 $35K
86765 4,049 4,001 $34K
82951 3,255 3,221 $34K
84156 18,008 17,020 $34K
83690 7,726 7,483 $34K
87517 1,330 1,308 $32K
80197 7,316 5,535 $32K
86735 3,761 3,722 $32K
87209 2,655 2,362 $31K
82465 15,739 15,465 $31K
87046 2,832 2,486 $29K
86900 11,532 11,166 $29K
87338 2,962 2,940 $29K
ATP10 9,662 8,832 $28K
83520 2,638 2,512 $28K
86800 2,740 2,667 $28K
82248 23,204 21,544 $26K
87205 9,248 8,943 $26K
82533 2,618 2,447 $26K
ATP07 5,499 5,228 $26K
80051 10,453 9,799 $26K
87507 104 103 $26K
86901 11,385 11,131 $26K
87581 963 941 $25K
87486 964 942 $25K
86705 3,843 3,723 $25K
88304 651 604 $23K
86431 6,414 6,333 $23K
80164 3,754 3,563 $23K
81025 4,028 3,849 $21K
87350 3,467 3,347 $21K
ATP02 7,458 6,776 $21K
86695 2,223 2,194 $21K
81508 556 542 $21K
87799 1,575 1,257 $20K
85730 5,152 4,943 $19K
86200 2,304 2,274 $19K
88342 415 398 $19K
86664 1,592 1,571 $18K
84550 13,928 13,248 $18K
86769 891 852 $18K
86617 1,634 1,586 $18K
82947 9,140 8,892 $18K
84520 14,498 13,606 $17K
82150 4,246 4,086 $17K
84100 11,889 10,146 $17K
86039 2,460 2,412 $17K
84144 1,151 1,084 $17K
88112 779 679 $17K
82550 8,933 8,365 $17K
86334 1,658 1,608 $16K
87045 2,754 2,685 $16K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 862 834 $16K
ATP13 3,550 3,337 $16K
85018 8,191 8,041 $16K
84134 1,766 1,485 $16K
86677 1,541 1,528 $16K
87177 2,655 2,359 $15K
86225 1,593 1,567 $15K
86008 142 138 $14K
81003 10,244 10,002 $14K
87476 702 684 $14K
84154 1,798 1,755 $14K
86706 1,972 1,948 $14K
87210 4,276 4,150 $14K
87899 1,546 1,419 $13K
83921 1,665 1,622 $13K
83993 1,118 1,093 $13K
ATP04 2,769 2,642 $12K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 454 396 $12K
85014 6,385 6,292 $12K
82247 7,666 6,672 $12K
80180 1,889 1,743 $12K
36416 9,168 8,317 $12K
ATP16 2,532 2,165 $11K
82553 2,598 2,452 $11K
82952 3,288 3,250 $10K
87449 1,802 1,760 $10K
ATP09 2,580 2,256 $10K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 176 176 $10K
86255 903 877 $10K
87324 1,741 1,697 $9K
ATP05 1,825 1,749 $9K
80178 2,713 2,532 $9K
84165 1,843 1,796 $9K
84480 1,409 1,366 $9K
85045 3,669 3,556 $9K
86141 1,167 1,135 $9K
82310 4,289 4,013 $8K
82977 3,663 3,503 $8K
83525 998 974 $8K
84466 977 957 $8K
84075 4,440 4,252 $8K
83615 3,577 3,254 $7K
87625 387 379 $7K
85379 1,207 1,185 $7K
84436 1,835 1,680 $7K
0099U 41 38 $6K
84425 671 660 $6K
86593 2,070 2,033 $6K
ATP06 1,508 1,432 $6K
82040 3,306 3,125 $6K
84163 442 441 $6K
83883 618 604 $6K
87206 1,659 1,459 $6K
87329 796 777 $6K
87427 776 749 $5K
86308 1,249 1,239 $5K
87563 261 247 $5K
82677 284 277 $5K
84402 271 263 $4K
ATP12 1,127 1,052 $4K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 1,889 1,870 $4K
82330 536 508 $4K
84703 752 735 $4K
82340 937 925 $3K
81401 50 46 $3K
82088 132 130 $3K
88312 172 169 $3K
83498 149 147 $3K
83010 331 327 $3K
83090 307 301 $3K
82172 238 237 $3K
84132 1,628 1,490 $3K
81050 1,363 1,337 $3K
84300 858 830 $2K
82024 88 84 $2K
86666 81 81 $2K
86336 163 159 $2K
84305 145 143 $2K
87102 481 408 $2K
86304 175 160 $2K
ATP19 399 378 $2K
82397 210 207 $2K
86352 26 25 $2K
84155 1,695 1,636 $2K
80175 396 380 $2K
82787 145 143 $2K
80177 353 341 $2K
84244 118 117 $2K
82140 273 257 $1K
80156 510 483 $1K
86709 229 225 $1K
88300 81 81 $1K
85651 623 614 $1K
85613 172 171 $1K
86753 149 147 $1K
84484 269 266 $1K
85660 260 259 $1K
86147 34 29 $1K
83835 107 101 $1K
84681 118 118 $1K
84207 89 88 $1K
87040 116 101 $987.00
86162 67 65 $943.81
84630 117 113 $934.86
82390 148 144 $886.00
84445 26 25 $835.17
82507 37 37 $832.15
86707 120 120 $831.18
86258 348 345 $677.86
82378 67 63 $663.34
80162 96 82 $526.77
82610 64 62 $495.89
89055 195 193 $457.85
84560 106 106 $413.51
82374 213 206 $343.27
80183 24 24 $342.89
86611 14 14 $334.08
80299 50 41 $324.76
82272 105 102 $308.42
82525 54 50 $283.00
83945 25 25 $281.16
86812 12 12 $266.10
85245 12 12 $253.06
84482 26 26 $238.70
86682 28 28 $229.40
82103 27 27 $220.68
86644 28 25 $210.08
81002 95 93 $192.72
86694 17 17 $170.69
85049 55 53 $138.08
84432 14 13 $125.02
ATP20 39 39 $124.74
81015 61 61 $121.42
87015 17 12 $104.98
84540 42 41 $94.48
84478 196 137 $88.40
87075 30 28 $87.84
80185 15 12 $60.45
80158 13 12 $55.86
84105 13 13 $54.20
80159 20 12 $53.31
87185 12 12 $51.96
84133 16 16 $44.05
82523 14 14 $39.45
81596 194 184 $0.00
82575 13 13 $0.00
81511 110 97 $0.00
0240U 12 12 $0.00
80373 71 64 $0.00
80348 53 49 $0.00